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Background: Many adjuvants have been studied to improve the quality of analgesia and to prolong its duration. To date, there are no reports on the use of triamcinolone. Case: We present a brief report of 10 patients receiving a single shot ACB and IPACK blockade with a small dose of triamcinolone for Fast-Track Knee Replacement to prolong analgesia. Conclusion: We think this is a valuable opioid-sparing option, cheaper than new adjuvants, and safer than the use of continuous infusion. This technique should be evaluated in clinical trials.