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Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/861
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dc.contributor.authorChuan Alwinen_US
dc.contributor.authorLansdown Andrewen_US
dc.contributor.authorBrick Kelly Len_US
dc.contributor.authorBourgeois Andre JGen_US
dc.contributor.authorPencheva LBen_US
dc.contributor.authorHue Brianen_US
dc.contributor.authorGoddard Sen_US
dc.contributor.authorLennon Mark Jen_US
dc.contributor.authorWalters Andrewen_US
dc.contributor.authorAuyong Daviden_US
dc.date2019-05-02-
dc.date.accessioned2019-07-02T22:25:02Z-
dc.date.available2019-07-02T22:25:02Z-
dc.identifier.citation[Epub ahead of print]en_US
dc.identifier.urihttp://hdl.handle.net/11055/861-
dc.description.abstractAdductor canal (AC) catheters are being used to provide continuous postoperative analgesia after total knee arthroplasty (TKA) surgery. There are anatomical arguments that most AC catheters are being inserted into the femoral triangle (FT) compartment of the thigh rather than the AC compartment. The clinical relevance of this is unknown with respect to motor weakness, quality of analgesia, and opioid consumption. We hypothesised that AC catheters provide superior functional mobilisation on postoperative Day 1 after TKA as measured using the Timed Up and Go (TUG) test. METHODS: In this multinational, multicentre, double-blinded RCT, catheters were inserted under ultrasound guidance into the anatomical AC and FT compartments. The standardised protocol included spinal anaesthesia without intrathecal morphine, fixed catheter infusion rates, and oral analgesia. RESULTS: Of 151 subjects recruited, 75 were in the AC group and 76 in the FT group. There was no statistically significant difference in TUG on postoperative Day 1 between AC (38 [29-55] s) and FT subjects (44 [32-64] s) (median [inter-quartile range]); P=0.11). There was no difference in TUG Day 2, AC (38 [27-53] s) vs FT (42 [31-59] s); P=0.66. There were no statistically significant differences for secondary endpoints of pain level, effectiveness of pain relief, interference of functional activities and interpersonal relationships by pain, and opioid consumption between groups. CONCLUSIONS: There were no differences in immediate postoperative functional mobility, analgesia, and opioid consumption provided by catheters inserted into the AC vs FT locations for TKA surgery.en_US
dc.subjectAdductor Canalen_US
dc.subjecttotal knee replacementen_US
dc.subjectregional Anaesthesiaen_US
dc.subjecttotal knee arthroplasten_US
dc.subjectpostoperative analgesiaen_US
dc.subjectfemoral triangleen_US
dc.subjectcontinuous catheter infusionen_US
dc.titleAdductor canal versus femoral triangle anatomical locations for continuous catheter analgesia after total knee arthroplasty: a multicentre randomised controlled studyen_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitleBritish Journal of Anaesthesiaen_US
dc.identifier.orcid0000-0003-4356-6525en_US
dc.identifier.doi10.1016/j.bja.2019.03.021en_US
dc.description.affiliatesUniversity of New South Wales, Sydneyen_US
dc.description.affiliatesRoyal Prince Alfred Hospital, Sydneyen_US
dc.description.affiliatesSir Charles Gairdner Hospital, Perthen_US
dc.description.affiliatesJoondaloop Health Campus, Perthen_US
dc.description.affiliatesMiddlemore Hospital, Aucklanden_US
dc.description.affiliatesVirginia Mason Medical Center, Seattleen_US
dc.description.pubmeduri31056239en_US
dc.type.studyortrialCase Control Studiesen_US
dc.identifier.studynameCLINICAL TRIAL REGISTRATION: ANZCTR12617001421325.en_US
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Collections:Scholarly and Clinical
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