Manickam B, Perlas A, Duggan E, Brull R, Chan VW, Ramlogan R.Anesthetic and analgesic management for outpatient knee artroplasty. Multimodal pain managementin total knee artroplasty. ![]() Best Pract Res Clin Anaesthesiol 2002 16: 255-70. Regional anesthesia techniques for ambulatory orthopedic surgery. We believe that IPACK block alone or in addition to other blocks or methods will be effective in preventing arthroscopic knee surgery pain and it will be useful to conduct new studies with more patients. Results: As a result of the comparison between the groups, it was seen that there was a significant difference between the groups in favor of the IPACK Block group in terms of postoperative VAS scores after 1st hour, postoperative analgesic needs and patient satisfaction (p<0.001).Ĭonclusion: Preemptive IPACK block, performed in patients who will undergo arthroscopic knee surgery, reduces the patient's pain in the postoperative period, shortens the length of hospital stay, positively affects patient comfort and increases patient satisfaction considerably. Postoperative 0-1-2-6-12 and 24th hour VAS scores, additional analgesic needs, patient satisfaction scores, were compared in groups as primary outcome. Group I consisted of 30 patients with preemptive IPACK block, while 30 patients without block were classified as the control group (Group II). Material and Method: The data of 60 patients who underwent arthroscopic knee surgery under spinal anesthesia with or without applied preemptive IPACK block for postoperative analgesia were collected between October 2019 and December 2020. Our aim was to evaluate the effectiveness of IPACK block on postoperative analgesia, effects on additional analgesic consumption and patient satisfaction. In this study, we retrospectively reviewed our patient’s data to which IPACK block was applied for arthroscopic knee surgery. J Ultrasound Med 2018 38: 741-5.Background: Interspace between the popliteal artery and the capsule of the posterior knee (IPACK) block is block, which is done by infiltration of local anesthetic to block terminal branches of genicular nerves and popliteal plexus that innervate the posterior capsule of the knee joint. Interspace between popliteal artery and posterior capsule of the knee (IPACK) injectate spread: a cadaver study. Ochsner J 2017 17: 233-8.īenzon HT, Raja SN, Fishman SM, Liu SS, Cohen SP. Novel peripheral techniques for total knee arthroplasty promote reduced hospital length of stay: an analysis of 106 patients. Thobhani S, Scalercio L, Elliott CE, et al. A summary of the anatomy and current regional anesthesia practices for postoperative pain management in total knee arthroplasty. Kukreja P, Feinstein J, Kalagara HK, et al. Anesthetic and analgesic management for outpatient knee arthroplasty. This transient block may be explained by pooling of local anesthetic around the common peroneal nerve after spreading from the IPACK injection site. Foot drop in the ACB+IPACK group was resolved by POD 2 in both patients. ![]() 1, 2, 3 Surgically induced trauma was the reported cause of foot drop in the ACB group: the diagnosis of neurapraxia was suggested by the attending surgeon in both patients’ electronic charts. Postoperative foot drop results from motor blockade of the common peroneal nerve or from surgically-induced trauma, therefore delaying ambulation and onset of physiotherapy. 1, 2, 3 Four patients who were administered the ACB ( n = 2) or ACB+IPACK ( n = 2) experienced foot drop. Three patients who received the FNB fell postoperatively when ambulating, which aligns with the known disadvantage of the FNB in causing quadricep muscle weakness. There were no differences in pain intensity or distance ambulated between groups on POD 1 and 2. Mean pain scores on POD 0 for patients who received the ACB+IPACK or FNB+IPACK were lower than those for patients who did not receive the IPACK block. The mean (standard deviation) age of patients was 69.0 (9.0) yr, and the majority were female and were American Society of Anesthesiologists physical status III.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |