Cognitive Training to Reduce Memory Disturbance Associated With Postoperative Cognitive Impairment After Elective Noncardiac Surgery: An Experimental Study.

Purpose: Assess the efficiency of a cognitive training program using an artificial intelligence application to optimize cognitive reserve and reduce memory disturbance in patients aged 55 to 75 after Class II-III elective noncardiac surgery.

Design: Experimental with random assignment.

Methods: The study was conducted on 80 patients undergoing surgery at the Teknon Medical Center Hospital in Barcelona, from April 2018 to June 2021.

Opioid-free anesthesia for patients with joint hypermobility syndrome undergoing craneo-cervical fixation: a case-series study focused on anti-hyperalgesic approach.

Background: Patients with Ehlers-Danlos Syndrome/Hypermobility Type (EDS-HT/JHS) and Craneo-Cervical Instability frequently suffer from severe widespread pain which is difficult to control. Chronic neuroinflammation, opioid-induced hyperalgesia, and central sensitization may explain this painful condition. The aim of this study was to determine if opioid-free anesthesia plus the postoperative administration of lidocaine, ketamine and dexmedetomidine can reduce postoperative pain and the need of methadone rescues in comparison with opioid-based management in these patients undergoing Craneo-Cervical Fixation (CCF).

[Nursing basics in anesthesia: material to carry out regional anesthesia technics].

Nursing career tend to specialize more each time in the different specialties, for this reason the introduction of the specialist nurse in anaesthesia required a specific knowledge on this medical discipline. The evolution of technologies applied to the design of new needles, echography machines and other equipment for regional anaesthesia techniques make essential to update of our knowledge in this area. This piece of work pretend to show the readers (nurses working in anaesthesia and others practitioners involved in surgical areas or pain management) a current view about the material and other instruments, mostly used in the different types of nerve blocks in regional anaesthesia.