Adductor Canal Block With 10 mL Versus 30 mL Local Anesthetics and Quadriceps Strength

Jæger, Pia; Koscielniak-Nielsen, Zbigniew J.; Hilsted, Karen Lisa; Fabritius, Maria Louise; Dahl, Jørgen B.

doi:10.1097/aap.0000000000000298

Cited by 26 publications

(28 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The same authors reported varying the volume between 10 and 30 mL of ropivacaine 0.1%, noting no significant difference in quadriceps muscle strength. 31 We combined the adductor canal block with a periarticular infiltrative analgesic technique and the results may not be the same if a different infiltration method was used.…”

Section: Discussionmentioning

confidence: 99%

Single-Dose Adductor Canal Block With Local Infiltrative Analgesia Compared With Local Infiltrate Analgesia After Total Knee Arthroplasty

Nader¹,

Kendall

Manning

et al. 2016

Regional Anesthesia and Pain Medicine

133

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Single-Dose Adductor Canal Block With Local Infiltrative Analgesia Compared With Local Infiltrate Analgesia After Total Knee Arthroplasty

Nader¹,

Kendall

Manning

et al. 2016

Regional Anesthesia and Pain Medicine

133

View full text Add to dashboard Cite

show abstract

“…According to another study, volumes more than 20 mL are not required for ACB (1), because the success rate for the 15 mL dose was 90.2% compared to 95.1% for the 20 mL dose. Other studies stated that an ACB with more than 20 mL can cause a decrease in muscle strength, even though there was no statistically signi cant difference between anaesthetic volume and the number of subjects with quadriceps weakening (2).…”

Section: Discussionmentioning

confidence: 99%

“…Surgery around the knee is di cult because the surgery technique is challenging, duration of the surgery is long, and it has a higher rate of complications and challenging outcomes because the recovery is painful and requires the patients' effort to train for range of motion and weight-bearing (1).…”

Section: Introductionmentioning

confidence: 99%

“…Femoral nerve blocks can decrease post-operative pain; however, they can also reduce quadricep muscle strength, which can lead to delays in mobilization and rehabilitation programs. The adductor canal block (ACB), a novel block recently becoming more popular for pain management after knee surgery, preserves muscle strength and enhances early mobilization (1,2).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adductor Canal Block in the Outpatient Clinic for Pain Control Following Knee Surgery

Рhatomy

rasyid

Setyawan

2020

Preprint

View full text Add to dashboard Cite

Background: The outcome of knee surgery is influenced by the surgery itself and the rehabilitation program. Post-operative pain management is the most important factor for a successful rehabilitation program. We hypothesized that an adductor canal block (ACB) in the outpatient clinic is safe, effective for pain relief, and decreases analgesic consumption.Methods: We included patients who underwent knee surgery. Patients were scheduled to an ACB on post-operative day (POD) 14 at the outpatient clinic with 0.1% ropivacaine. We evaluated pain with the use of a visual analogue scale (VAS) and analgesic consumption on PODs 5, 7, 9, 15, 17, 19, 21, 23, 25, 27, and 29.Results: We enrolled 115 patients. The mean VAS pain scores before ACB on PODs 5, 7, and 9 were 7.4, 7.2, and 6.2, respectively. After the patients received the ACB on POD 14, the mean VAS pain score significantly decreased to 1.6, then gradually increased at PODs 17, 19, 21, and 23. After POD 23, the VAS pain score flattened. Patients’ mean analgesic (etoricoxib) consumption before receiving the ACB on PODs 5, 7, and 9 were 102 mg, 98 mg, and 98 mg, respectively. After receiving ACB, analgesic consumption significantly decreased (16 mg) on POD 15, then gradually increased on PODs 17, 19, and 21. After POD 21, analgesic consumption stabilized.Conclusions: Single-shot ACB in the outpatient clinic is safe and significantly decreases pain and analgesic consumption and may enhance rehabilitation programs.

show abstract

“…In another study, there was no significant difference in the effect of ACB with 10 mL versus 30 mL of ropivacaine 0.1%. 23 Ropivacaine 0.1% is rarely used in the clinical setting. For this reason, we needed to conclusively determine the ED 50 of a higher concentration of ropivacaine in the present study.…”

Section: Discussionmentioning

confidence: 99%

Median effective volume of ropivacaine 0.5% for ultrasound-guided adductor canal block

Yan

Zheng

et al. 2018

J Int Med Res

View full text Add to dashboard Cite

ObjectiveThis study aimed to identify the median effective volume of ropivacaine 0.5% for ultrasound-guided adductor canal block (ACB).MethodsThirty-two patients received ultrasound-guided ACB for knee arthroscopic meniscectomy. The criterion for successful ACB was the loss of pinprick sensation in the saphenous area (medial knee, leg, and foot). The volume of ropivacaine 0.5% in each case was determined using the up-down method and used for calculating the median effective dose.ResultsThe mean age, weight, and height of patients were 28.6 ± 7.1 years, 68.2 ± 10.6 kg, and 172.5 ± 6.4 cm, respectively. Among patients who received 18- and 15-mL doses, ACB was successful in all four cases. Among patients who received a 12-mL dose, ACB was effective in eight and ineffective in two cases. Among patients who received a 10-mL dose, ACB was successful in six and unsuccessful in seven cases. In patients who received an 8-mL dose, ACB was ineffective in all five cases. The median effective volume of ropivacaine 0.5% was 10.4 mL (95% confidence interval, 9.1–11.4 mL). In all effective cases, the median quadriceps strength was grade 5.ConclusionsThe median effective volume of ropivacaine 0.5% is 10.4 mL for ultrasound-guided ACB.

show abstract

Adductor Canal Block With 10 mL Versus 30 mL Local Anesthetics and Quadriceps Strength

Abstract: Varying the volume of ropivacaine 0.1% used for ACB between 10 and 30 mL did not have a statistically significant or clinically relevant impact on quadriceps strength.

Cited by 26 publications

References 19 publications

Single-Dose Adductor Canal Block With Local Infiltrative Analgesia Compared With Local Infiltrate Analgesia After Total Knee Arthroplasty

Single-Dose Adductor Canal Block With Local Infiltrative Analgesia Compared With Local Infiltrate Analgesia After Total Knee Arthroplasty

Adductor Canal Block in the Outpatient Clinic for Pain Control Following Knee Surgery

Median effective volume of ropivacaine 0.5% for ultrasound-guided adductor canal block

Contact Info

Product

Resources

About