Femoral Nerve Block With 0.25% or 0.5% Bupivacaine Improves Postoperative Analgesia Following Outpatient Arthroscopic Anterior Cruciate Ligament Repair

Mulroy, Michael F.; Larkin, Kathleen L.; Batra, Manbir S.; Hodgson, Peter S.; Owens, Brian

doi:10.1097/00115550-200101000-00007

Cited by 116 publications

(48 citation statements)

References 15 publications

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“…Knee arthroscopy surgery ranges from the simple, diagnostic knee arthroscopy to the much more invasive anterior cruciate ligament (ACL) repair. In addition to general anaesthesia, virtually all other regional techniques have been used for knee arthroscopy and ACL repair, including intra‐articular LAs [39, 40], lumbar plexus (femoral or psoas) blockade with or without a sciatic block [41–44] and neuraxial anaesthesia (spinal, epidural or combined spinal‐epidural techniques) [45–48] (Table 2). Local infiltration of the arthroscopic portal insertions by the surgeon combined with intravenous sedation is a relatively simple technique.…”

Section: Regional Anaesthesia For Lower Extremity Ambulatory Surgerymentioning

confidence: 99%

“…As with the psoas approach, the need for a femoral block for minor knee arthroscopy procedures has not been demonstrated in the literature [51]. In contrast, VAS scores are lower in patients undergoing ACL repair, which is significantly more painful than arthroscopy, when a femoral block is performed [42, 51]. The addition of a sciatic nerve block provided even better postoperative analgesia in this population and resulted in fewer hospital admissions [51].…”

Section: Regional Anaesthesia For Lower Extremity Ambulatory Surgerymentioning

confidence: 99%

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Regional anaesthesia in day‐stay and short‐stay surgery

Kopp

Horlocker

2010

Anaesthesia

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Summary The goals for ambulatory surgery are rapid recovery with minimal side effects, adequate postoperative pain control, rapid patient discharge and overall cost containment. The addition of regional anaesthetic techniques has been shown to decrease nausea, postoperative pain scores and the need for post‐anaesthesia care unit monitoring. The use of regional anaesthesia is increasing as studies confirm the goals for ambulatory anaesthesia can be met with a combination of regional anaesthesia and a multimodal pain management regimen.

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Section: Regional Anaesthesia For Lower Extremity Ambulatory Surgerymentioning

confidence: 99%

Section: Regional Anaesthesia For Lower Extremity Ambulatory Surgerymentioning

confidence: 99%

Regional anaesthesia in day‐stay and short‐stay surgery

Kopp

Horlocker

2010

Anaesthesia

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“…(8) who used low doses of bupivacaine via a femoral catheter. Other studies have investigated the use of a single‐shot femoral nerve block as part of a multimodal analgesic approach (14,15). Mulroy et al .…”

Section: Discussionmentioning

confidence: 99%

“…Mulroy et al . (14) concluded that femoral nerve block with 0.25% bupivacaine contributes significantly to multimodal analgesia in the immediate postoperative period. In contrast, other authors (15) have found that addition of a 3‐in‐1 blockade to intraarticular ropivacaine does not reduce the i.v.…”

Section: Discussionmentioning

confidence: 99%

Comparison of epidural, continuous femoral block and intraarticular analgesia after anterior cruciate ligament reconstruction

Dauri

Polzoni

Fabbi

et al. 2002

Acta Anaesthesiol Scand

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“…Given the multiple innervations of the knee, complete pain relief A. Huang et al would not be expected from either the femoral nerve block (FNB) or the saphenous nerve block [3] [4] alone.…”

Section: Introductionmentioning

confidence: 99%

Interspace between the Popliteal Artery and the Capsule of the Knee (IPACK) Block for Anterior Cruciate Ligament Reconstruction Surgery: A Two Case Series

Huang¹,

Singh²,

Woon³

2020

OJAnes

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This case series describes the use of Interspace between the Popliteal Artery and the Capsule of the Knee (IPACK) block to provide motor-sparing analgesia for two consecutive patients undergoing anterior cruciate ligament reconstruction (ACLR) by the same surgeon. Case 1 demonstrates the use of a proximal IPACK block as a post-operative rescue block for a patient who still experienced severe pain despite having received a femoral nerve block and parenteral opioids. Case 2 describes the use of a modified IPACK block as part of a multimodal approach with opioid and motor sparing effects. In both cases, the IPACK block provided satisfactory pain relief in the immediate postoperative period without motor weakness, making it an effective analgesic method for day surgery. With the IPACK block shown to be an effective nerve block for ACLR, we explore other advantages, limitations and further research required to better define the role of this block.

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Femoral Nerve Block With 0.25% or 0.5% Bupivacaine Improves Postoperative Analgesia Following Outpatient Arthroscopic Anterior Cruciate Ligament Repair

Cited by 116 publications

References 15 publications

Regional anaesthesia in day‐stay and short‐stay surgery

Regional anaesthesia in day‐stay and short‐stay surgery

Comparison of epidural, continuous femoral block and intraarticular analgesia after anterior cruciate ligament reconstruction

Interspace between the Popliteal Artery and the Capsule of the Knee (IPACK) Block for Anterior Cruciate Ligament Reconstruction Surgery: A Two Case Series

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