2022
DOI: 10.1186/s12871-022-01712-7
|View full text |Cite
|
Sign up to set email alerts
|

The effect of continuous adductor canal block combined with distal interspace between the popliteal artery and capsule of the posterior knee block for total knee arthroplasty: a randomized, double-blind, controlled trial

Abstract: Background The optimal analgesia for total knee arthroplasty (TKA) requires excellent analgesia while preserving muscle strength. This study aimed to determine the hypothesis that continuous adductor canal block (CACB) combined with the distal interspace between the popliteal artery and the posterior capsule of the knee (IPACK) block could effectively alleviate the pain of the posterior knee, decrease opioids consumption, and promote early recovery and discharge. … Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1
1

Citation Types

0
8
0

Year Published

2022
2022
2024
2024

Publication Types

Select...
6

Relationship

0
6

Authors

Journals

citations
Cited by 9 publications
(8 citation statements)
references
References 25 publications
0
8
0
Order By: Relevance
“…A total of 17 publications with 1652 patients were included [ 1 , 9 , 15 17 , 19 , 20 , 22 , 23 , 27 , 28 , 31 33 , 35 , 37 , 41 , 43 ], consisting of 16 RCTs and one prospective control trial. The trial characteristics are represented in Table 1 .…”
Section: Resultsmentioning
confidence: 99%
See 2 more Smart Citations
“…A total of 17 publications with 1652 patients were included [ 1 , 9 , 15 17 , 19 , 20 , 22 , 23 , 27 , 28 , 31 33 , 35 , 37 , 41 , 43 ], consisting of 16 RCTs and one prospective control trial. The trial characteristics are represented in Table 1 .…”
Section: Resultsmentioning
confidence: 99%
“…Twelve studies ( n = 1154) reported on the total rest pain scores after TKA with IPACK supplementation [ 19 , 20 , 22 , 23 , 27 , 31 33 , 35 , 37 , 41 , 43 ]. When compared with a control group, IPACK supplementation was found to reduce rest pain scores at 8–12 h postoperatively, with a mean difference (95% CI − 0.85 [− 1.36, − 0.34], I 2 = 94%, p = 0.001) as well as POD1 (95% CI − 0.49 [− 0.85, − 0.14], I 2 = 87%, p = 0.006), and POD2 (95% CI − 0.28 [− 0.51, − 0.05], I 2 = 72%, p = 0.02);.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Further, future research studies on motor-sparing properties with peripheral nerve catheters versus single-injection blocks used in populations at risk (e.g. opioid-naive, opioid-dependent, advanced age, and obesity) are still needed [42 ▪▪ ,43–45].…”
Section: Discussionmentioning
confidence: 99%
“…There is a growing body of evidence in favor of continuous ACB [76], especially combined with IPACK [77] or LIA for TKA, because it provides superior ambulation, lower pain scores, faster discharge, and greater patient satisfaction when compared to epidural anesthesia [78,79]. On the other hand, Elkassabany et al, [80] randomized 156 patients to receive that there were no benefits for a continuous adductor canal block for 48 hours in terms of reducing the number of patients with moderate pain and improving the quality of pain management.…”
Section: Continuous Peripheral Nerve Blockmentioning
confidence: 99%