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Periarticular injection, iPACK block, and peripheral nerve block in pain management after total knee arthroplasty: a structured narrative review [PDF]

open access: yesPerioperative Medicine, 2023
Introduction Total knee arthroplasty (TKA) is commonly performed in patients with end-stage osteoarthritis or rheumatoid arthritis of the knee to reduce joint pain, increase mobility, and improve quality of life.
Małgorzata Domagalska   +3 more
doaj   +4 more sources

The effect of adding dexamethasone to adductor block and IPACK block on acute postoperative, rebound, and chronic pain following knee arthroplasty—1-year follow-up [PDF]

open access: yesFrontiers in Medicine
The analgesic efficacy of nerve blocks depends on the duration of local anesthetics, whose effects can be extended with adjuvant drugs. This prospective interventional study aimed to assess the impact of adding dexamethasone to levobupivacaine on the ...
Svetlana Sreckovic   +15 more
doaj   +5 more sources

Comparative analysis of adductor canal block combined with iPACK block versus femoral combined with sciatic nerve blocks: a propensity score matched study [PDF]

open access: yesBMC Anesthesiology
Background Nerve blocks are effective in reducing postoperative opioid use and enhancing rehabilitation following total knee arthroplasty. However, few studies compare the analgesic efficacy and functional recovery of adductor canal block (ACB) combined ...
Chao-Hsien Sung   +3 more
doaj   +4 more sources

Does Adding an IPACK Block to the Suprainguinal Fascia Iliaca Block Improve the Quality of Analgesia in Patients Undergoing Knee Arthroplasty under Spinal Anesthesia? A Retrospective Cohort Study [PDF]

open access: yesMedicina, 2023
Background and Objectives: Total knee arthroplasty (TKA) is a commonly performed orthopedic procedure, and is often accompanied by significant postoperative pain. The supra-inguinal fascia iliaca block (SIFIB), similar to an anterior lumbar plexus block,
Hatice Selcuk Kusderci   +6 more
doaj   +2 more sources

Comparison of sensory posterior articular nerves of the knee (SPANK) block versus infiltration between the popliteal artery and the capsule of the knee (IPACK) block when added to adductor canal block for pain control and knee rehabilitation after total knee arthroplasty---A prospective randomised trial [PDF]

open access: yesIndian Journal of Anaesthesia, 2021
Background and Aims: Adductor canal block (ACB), though an effective procedure for postoperative analgesia in total knee arthroplasty (TKA), does not provide analgesia to the posterior articular aspect of the knee joint.
Shibani Padhy   +4 more
doaj   +2 more sources

iPACK block (local anesthetic infiltration of the interspace between the popliteal artery and the posterior knee capsule) added to the adductor canal blocks versus the adductor canal blocks in the pain management after total knee arthroplasty: a systematic review and meta-analysis [PDF]

open access: yesJournal of Orthopaedic Surgery and Research, 2022
Background Several studies have suggested that the addition of iPACK block (the popliteal artery and the posterior knee capsule have been given interspace local anesthetic infiltration) might get better analgesia than adductor canal block (ACB) only ...
Jiao Guo   +4 more
doaj   +2 more sources

iPACK block with adductor canal block vs. lumbar erector spinae plane block (L-ESPB) in total knee arthroplasty: a randomized, double-blinded, controlled trial [PDF]

open access: yesAnaesthesiology Intensive Therapy
Introduction Total knee arthroplasty (TKA) is associated with severe pain. We examined whether an ultrasound-guided, single-injection L2 erector spinae plane block could improve analgesia compared to an ultrasound-guided iPACK (infiltration between the ...
Tomasz Reysner   +5 more
doaj   +2 more sources

Ultrasound-Guided Local Anesthetic Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee (IPACK) Block for Primary Total Knee Arthroplasty: A Systematic Review of Randomized Controlled Trials [PDF]

open access: yesLocal and Regional Anesthesia, 2021
Ryan S D’Souza, Brendan J Langford, David A Olsen, Rebecca L Johnson Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Rochester, MN, USACorrespondence: Rebecca L JohnsonDepartment of Anesthesiology and Perioperative ...
D'Souza RS   +3 more
doaj   +2 more sources

Analgesic efficacy of adding the IPACK block to multimodal analgesia protocol for primary total knee arthroplasty: a meta-analysis of randomized controlled trials [PDF]

open access: yesJournal of Orthopaedic Surgery and Research, 2022
Key points Question Can IPACK as an additional analgesic method provide better results on postoperative knee pain and function recovery for patients after TKA?
Xiumei Tang   +3 more
doaj   +2 more sources

Adductor canal block (ACB) plus infiltration of the posterior capsule of the knee (iPACK) block versus 4-in-1 block in an arthroscopic anterior cruciate ligament (ACL) repair: A randomised study [PDF]

open access: yesIndian Journal of Anaesthesia
Background and Aims: Anterior cruciate ligament (ACL) repair is a common sports-related surgery requiring early rehabilitation. Injection between the popliteal artery and the capsule of the knee (iPACK) provides analgesia to the posterior knee and, when ...
Ritesh Roy   +3 more
doaj   +2 more sources

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