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]
Frontiers in MedicineThe 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 +6 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]
Medicina, 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 +3 more sources
Comparison of iPACK and periarticular block with adductor block alone after total knee arthroplasty: a randomized clinical trial [PDF]
Journal of Anesthesia, 2022 The infiltration between the popliteal artery and the capsule of the posterior knee (iPACK) has been described to provide analgesia without loss of muscle strength and is effective in functional recovery. This study compared iPACK + ACB (adductor canal block) with PAI (periarticular infiltration) + ACB and ACB alone in terms of postoperative analgesia ...
Betül Başaran +2 more
exaly +6 more sources
Orthopaedic Surgery, 2022 Objectives To evaluate the combination of the infiltration between the popliteal artery and the posterior capsule of the knee (iPACK) block and single adductor canal block (SACB) versus SACB for motor‐sparing knee analgesia effects after total knee ...
Xiumei Tang +8 more
doaj +3 more sources
Functional and Analgesic Effects of iPACK Blocks Added to Continuous Adductor Canal Blocks for ACL Reconstruction With Quadriceps Tendon Autograft: A Randomized Controlled Trial [PDF]
Orthopaedic Journal of Sports MedicineBackground: An adjunctive infiltration between popliteal artery and capsule of the posterior knee (iPACK) block—an infiltration between the popliteal artery and posterior knee capsule—has been used in knee surgery to address posterior knee pain ...
Carey L. Brewbaker MD +6 more
doaj +3 more sources
Indian Journal of Anaesthesia, 2023 Background and Aims: Postoperative analgesia for Total Knee Arthroplasty (TKA) is paramount for early mobilisation and rehabilitation. The newer motor sparing peripheral nerve blocks for analgesia for TKA are 4 in 1 block, modified 4 in 1 block ...
Ritesh Roy +4 more
doaj +2 more sources
Periarticular injection, iPACK block, and peripheral nerve block in pain management after total knee arthroplasty: a structured narrative review [PDF]
Perioperative 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 +2 more sources
Ain Shams Journal of Anesthesiology, 2023 Background Local anesthesia and intrathecal narcotics are utilized to provide postoperative analgesia. IPACK (infiltration between the knee capsule and popliteal artery) is a new localized analgesic approach for knee surgery.
Mohamed Abdelgawad Abdelhalim Aboelsuod +3 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]
Indian 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
Journal of Orthopaedic Surgery, 2023 Background Our previous study reported that when a respective 20 mL of ropivacaine was used for adductor canal block (ACB) combined with infiltration between the popliteal artery and capsule of the posterior knee (IPACK) block for patients undergoing ...
Qiuru Wang MD +4 more
doaj +2 more sources