Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Oct 2016
Randomized Controlled Trial Comparative StudySpinal fentanyl vs. sufentanil for post-operative analgesia after C-section: a double-blinded randomised trial.
Fentanyl and sufentanil are the most commonly administered intrathecal lipophilic opioids worldwide, although their relative efficacy when given by this route is not well characterised. The primary endpoint of this prospective, randomised, double-blind study was to compare effective analgesia duration of intrathecal administered fentanyl 25 μg and sufentanil 2.5 or 5 μg, Second endpoints were to compare post-operative morphine consumption and incidence of side effects between these opioids dosages. ⋯ In the conditions of our study, sufentanil 5 μg was the opioid of choice, associated with the best quality of anaesthesia without increased incidence of side effects.
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Acta Anaesthesiol Scand · Oct 2016
Randomized Controlled TrialLateral femoral cutaneous nerve block after total hip arthroplasty: a randomised trial.
Peripheral regional nerve blocks are commonly used for pain management after lower extremity surgery, but motor blockade can be a significant concern. The lateral femoral cutaneous nerve (LFCN) is a purely sensory nerve from the lumbar plexus. We hypothesised that an LFCN block would reduce movement-related pain after total hip arthroplasty (THA) in patients with moderate-to-severe pain. ⋯ LFCN block reduced movement-related pain in patients with moderate-to-severe pain after THA. The substantial non-responder rate limits recommendations of this block as part of a standard analgesic treatment regimen.