Saphenous nerve and IPACK block

Sebastian, Maria Paz; Bykar, Hannah; Sell, Alexander

doi:10.1136/rapm-2019-100750

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…• Reduces pain following hamstring graft harvest for ACL reconstructions The term i-PACK is described as a motor-sparing RA technique that consists of an infiltration of local anesthetic into the interspace between the popliteal artery and the posterior capsule of the knee [52][53][54]. It can be used as an adjunct to the femoral nerve or adductor canal blocks to cover the posterior knee pain.…”

Section: High-volume Blocksmentioning

confidence: 99%

Regional Analgesia for Knee Surgeries: Thinking beyond Borders

Sonawane¹,

Dixit²

2022

Topics in Regional Anesthesia

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Knee surgeries are the most commonly performed joint surgeries in the modern world, which help maintain the quality of life by improving joint functions. These include open trauma, sports injury, or joint replacement surgeries. Among various available regional analgesia options for knee surgeries, the goal is to choose motor-sparing, opioid-sparing, and procedure-specific modalities. Therefore, it is essential to know the complex anatomy of the knee joint, essential steps of various surgical procedures, and innervations of the pain-generating structures for a particular surgery. Background knowledge of all these essentials helps select the most appropriate regional analgesia technique for knee surgeries.

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Section: High-volume Blocksmentioning

confidence: 99%

Regional Analgesia for Knee Surgeries: Thinking beyond Borders

Sonawane¹,

Dixit²

2022

Topics in Regional Anesthesia

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“…There are some concerns regarding the trajectory of the needle; for example, some authors intuit an unintentional saphenous nerve injury related to its thinness, which makes it difficult to identify even with the use of USG. 90 …”

Section: Regional Analgesia For Tkamentioning

confidence: 99%

A guide to regional analgesia for Total Knee Arthroplasty

Rodriguez-Patarroyo

Cuello²,

Molloy

et al. 2021

EFORT Open Reviews

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Regional analgesia has been introduced successfully into the postoperative pain management after total knee arthroplasty, reducing pain scores, opioid use and adverse effects. Combination of regional analgesia techniques is associated with better pain management and lower side effects than single regional techniques. Adductor canal block provides good analgesia and considerably lower detrimental effect in muscular strength than femoral nerve block, enhancing surgical recovery. Infiltration techniques may have equivalent analgesic effect than epidural analgesia and peripheral nerve blocks, however there should be awareness of dose dependent toxicity. Novel long-acting local anesthetics role for regional analgesia is still to be determined, and will require larger randomized trials to support its advantage over traditional local anesthetics. Cite this article: EFORT Open Rev 2021;6:1181-1192. DOI: 10.1302/2058-5241.6.210045

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“…We would like to thank Dr Sebastian et al 1 for their interest in our recent publication 2. The concern regarding location of the saphenous nerve (SN) in relation to needle trajectory during infiltration in the interspace between the popliteal artery and capsule of the knee (iPACK) procedures is a clinically relevant question.…”

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confidence: 99%