scholarly journals Efficacy of interspace between the popliteal artery and the capsule of the posterior knee (iPACK) block versus periarticular local infiltration analgesia after unilateral total knee arthroplasty

2021 ◽  
Vol 42 (10) ◽  
pp. 1065-1071
Author(s):  
Abdul Sattar Narejo ◽  
Fatima Abdulwahab ◽  
Mansoor Aqil ◽  
Abdullah T. Alsubaie ◽  
Hassan Y. Hazazy ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Popliteal Artery ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Total Knee ◽  
Posterior Knee ◽  
Infiltration Analgesia

Effects of local infiltration analgesia for posterior knee pain after total knee arthroplasty: comparison with sciatic nerve block

2014 ◽  
Vol 28 (5) ◽  
pp. 696-701 ◽  
Author(s):  
Eri Gi ◽  
Masanori Yamauchi ◽  
Michiaki Yamakage ◽  
Chiharu Kikuchi ◽  
Hitoshi Shimizu ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Sciatic Nerve ◽  
Knee Pain ◽  
Nerve Block ◽  
Knee Arthroplasty ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Total Knee ◽  
Posterior Knee ◽  
Infiltration Analgesia

Analgesic efficacy of infiltration between the popliteal artery and capsule of the knee (iPACK) block added to local infiltration analgesia and continuous adductor canal block after total knee arthroplasty: a randomized clinical trial

2020 ◽  
Vol 45 (11) ◽  
pp. 872-879
Author(s):  
Chutikant Vichainarong ◽  
Wirinaree Kampitak ◽  
Aree Tanavalee ◽  
Srihatach Ngarmukos ◽  
Nattaporn Songborassamee
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Adductor Canal Block ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Adductor Canal ◽  
Pain Scores ◽  
Total Knee ◽  
Posterior Knee ◽  
Infiltration Analgesia

BackgroundA combination of motor-sparing analgesia with local infiltration analgesia (LIA) and continuous adductor canal block (CACB) may improve postoperative pain and functional recovery for total knee arthroplasty (TKA). We hypothesized that the addition of a novel technique for posterior knee block, known as the infiltration between the popliteal artery and capsule of the knee (iPACK) block, to LIA with CACB would reduce opioid requirements.MethodsIn this double-blinded randomized controlled trial, 72 patients were assigned to receive either LIA with CACB (LIA+CACB group) or iPACK block with LIA and CACB (iPACK+LIA+CACB group). The primary outcome was cumulative postoperative intravenous morphine consumption within 24 hours. The secondary outcomes included numerical rating scale pain scores, incidence of posterior knee pain, performance test results, patient satisfaction, length of stay, and adverse events.ResultsMorphine consumption within 24 hours postoperatively showed no significant intergroup difference (LIA+CACB; 1.31±1.85 mg vs iPACK+LIA+CACB; 0.61±1.25 mg, p=0.08). There were no clinically significant differences in the overall pain scores between the groups. The lower Timed Up and Go test scores on postoperative days 1 and 2, along with a shorter duration of hospitalization, were found in the iPACK+LIA+CACB group (p<0.05).ConclusionThe addition of an iPACK block to the LIA and CACB does not reduce the postoperative opioid consumption nor improve analgesia. However, it may improve immediate functional performance and reduce the length of hospitalization after TKA.Trial registration numberTCTR20180702001.

scholarly journals Single periarticular local infiltration analgesia reduces opiate consumption until 48 hours after total knee arthroplasty

2014 ◽  
Vol 85 (6) ◽  
pp. 614-619 ◽  
Author(s):  
Mika Niemeläinen ◽  
Jarkko Kalliovalkama ◽  
Antti J Aho ◽  
Teemu Moilanen ◽  
Antti Eskelinen
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Total Knee ◽  
Infiltration Analgesia

Safety of blood reinfusion after local infiltration analgesia with ropivacaine in total knee arthroplasty

2014 ◽  
Vol 52 (02) ◽  
pp. 135-142 ◽  
Author(s):  
Bregje J.W. Thomassen ◽  
Dean Touw ◽  
Pieter van der Woude ◽  
Rudolf E. van der Flier ◽  
Bastiaan A. in ‘t Veld
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Total Knee ◽  
Infiltration Analgesia

Local infiltration analgesia in total knee arthroplasty: why it may not be effective in surgical practice

2016 ◽  
Vol 86 (10) ◽  
pp. 844-845 ◽  
Author(s):  
David Skipsey ◽  
Sherif Hosny ◽  
Emily Wright ◽  
Felix Allen ◽  
Tomislav Smoljanovic ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Surgical Practice ◽  
Total Knee ◽  
Infiltration Analgesia
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