![]() Femoral nerve block or adductor canal block have been used to control anterior knee pain. Total knee arthroplasty (TKA) causes severe postoperative pain, which requires a combination of peripheral nerve blocks for effective analgesia. Shimane University Hospital, Izumo, Japanĭisclosures: K. Kotaro Gunji, M.D., Shinichi Sakura, M.D., Yuki Aoyana, M.D., Yoshimi Nakaji, M.D., Yoji Saito, M.D. ![]() Users should refer to the original published version of the material for the full abstract.Ipack Versus Sciatic Nerve Block: Effects On Motor Block And Analgesia After Total Knee Arthroplasty No warranty is given about the accuracy of the copy. However, users may print, download, or email articles for individual use. Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.Conclusion: El IPACK, combinado con el bloqueo femoral y la anestesia neuroaxial, resultan ser una excelente estrategia analgésica para logar un adecuado control del dolor en ATR, pronta rehabilitacion y deambulacion temprana del paciente. El 81% de los pacientes logro caminar en las primeras 24hours. En el 73% de los casos no se requirio una dosis de opioide de rescate. La puntuacion del dolor se mantuvo en una escala leve en un rango de 1-3 durante las 48hours de seguimiento. Resultados: En total, 27 pacientes a quienes se les realizo ATR obtuvieron bloqueo IPACK. ![]() Se informar los resultados de forma descriptiva. Se evaluaron las características sociodemográficas, antropométricas, lateralidad, dolor postoperatorio y consumo de opioides, satisfaccion del paciente y del cirujano, náuseas y vomito postoperatorio, caminata en las primeras 48h. Métodos: Se realizo un estudio de cohorte prospectivo, en adultos llevados a ATR, durante 6 meses. Objetivo: Describir el control analgésico, consumo de opioides y movilidad de pacientes programados para ATR usando bloqueo IPACK como adyuvante analgésico al bloqueo femoral. Por lo anterior, se decidio evaluar en una cohorte las cualidades analgésicas del bloqueo IPACK como una técnica emergente prometedora. Con las técnicas convencionales de bloqueo periférico para el compartimiento posterior se ha reportado pie caído y déficit motor distal. Introduccion: El control del dolor en artroplastia total de rodilla (ATR) es determinante en el proceso de rehabilitacion del paciente. Conclusion: The IPACK block, combined with femoral block and neuraxial anesthesia, turn out to be an excellent analgesic strategy for TKA, achieving adequate pain management, prompt rehabilitation, and early ambulation of the patient. In 73% of the cases, an opioid rescue dose was not required 81% of the patients managed to walk in the first 24 hours. The pain score remained in a mild level during the 48 hours of evaluation. Results: Twenty-seven patients taken to TKA received an IPACK block. Sociodemographic and anthropometric characteristics, laterality, postoperative pain, and opioid consumption, patient and surgeon satisfaction (Likert), postoperative nausea and vomiting, and walk in the first 24hours, were evaluated and reported with a descriptive analysis. Methods: We conducted a prospective observational cohort study over a 6-month period in adults taken to TKA. Objective: To describe analgesic control, opioid consumption, and mobility of patients scheduled for TKA using IPACK block as adjunct analgesic to the femoral block. The infiltration between popliteal artery and capsule of the knee (IPACK) block is a promising emerging analgesic technique. With conventional peripheral blocking techniques for the posterior compartment, foot drop, and distal motor deficit have been reported. Abstract: Introduction: Pain control in total knee arthroplasty (TKA) is a determining factor in the patient's rehabilitation process.
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