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Adductor Canal—Saphenous Block

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https://www.readbyqxmd.com/read/27871547/adductor-canal-block-for-knee-surgical-procedures-review-article
#1
REVIEW
Maulin U Vora, Thomas A Nicholas, Cale A Kassel, Stuart A Grant
Adductor canal block (ACB) has recently emerged as an alternative to femoral nerve block for pain control after various knee procedures especially knee arthroplasty. In this review article, we will review the anatomy of adductor canal, sonoanatomy, and ultrasound-guided approach for ACB as well as review current evidence regarding the indications of the ACB.
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27871518/continuous-ambulatory-adductor-canal-catheters-for-patients-undergoing-knee-arthroplasty-surgery
#2
Neil A Hanson, Phoebe H Lee, Stanley C Yuan, Daniel S Choi, Cindy Jo Allen, David B Auyong
STUDY OBJECTIVE: To determine after knee arthroplasty surgery the feasibility of discharging patients home on postoperative day 1 with continuous adductor canal blocks. DESIGN: Retrospective case series. SETTING: Outpatient setting after hospital discharge. PATIENTS: Patients undergoing knee arthroplasty surgery from October 2013 to August 2014. INTERVENTIONS: All patients received continuous adductor canal catheters for postoperative analgesia and were discharged to home on postoperative day 1...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27811526/prospective-double-blind-randomized-study-to-evaluate-single-injection-adductor-canal-nerve-block-versus-femoral-nerve-block-postoperative-functional-outcomes-after-total-knee-arthroplasty
#3
George I Macrinici, Carol Murphy, Lori Christman, Michelle Drescher, Brittany Hughes, Victor Macrinici, Gloria Diab
BACKGROUND AND OBJECTIVES: Despite multiple clinical trials comparing the adductor canal block (ACB) with femoral nerve block (FNB) for total knee arthroplasty, none looked at the aforementioned nerve blocks from early functional results to up to 6 months after surgery. METHODS: For this prospective, double-blind, randomized, single-center trial, we enrolled 98 patients set to undergo total knee arthroplasty. The patients were randomized, with 93 patients included in the intention-to-treat analysis...
November 2, 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27792212/postoperative-analgesia-for-elective-total-knee-arthroplasty-under-subarachnoid-anesthesia-with-opioids-comparison-between-epidural-femoral-block-and-adductor-canal-block-techniques-with-and-without-perineural-adjuvants-a-prospective-randomized-clinical-trial
#4
José R Ortiz-Gómez, Marta Perepérez-Candel, José M Vázquez-Torres, José M Rodriguez-Del Río, Berta Torrón-Abad, Inocencia Fornet-Ruiz, Francisco J Palacio-Abizanda
BACKGROUND: Optimal control of acute postoperative pain and prevention of chronic persistent pain in total knee arthroplasty (TKA) remain a challenge. The main hypothesis was that nerve blocks improve postoperative analgesia especially if perineural adjuvants are added. METHODS: Immediate postoperative pain (24 h) was evaluated every hour in 639 patients using a verbal rating 11-point scale for patient self-reporting of pain (VRS-11). All patients received subarachnoid anesthesia and were randomly allocated in 8 groups: control group, epidural (EA) and single shots femoral (FNB) or adductor canal blocks (ACB), both with and without adjuvants: dexamethasone (+Dexa) or dexmedetomidine (+Dexm)...
October 28, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27776098/single-dose-adductor-canal-block-with-local-infiltrative-analgesia-compared-with-local-infiltrate-analgesia-after-total-knee-arthroplasty-a-randomized-double-blind-placebo-controlled-trial
#5
Antoun Nader, Mark C Kendall, David W Manning, Matthew Beal, Rohit Rahangdale, Robert Dekker, Gildasio S De Oliveira, Eric Kamenetsky, Robert J McCarthy
BACKGROUND AND OBJECTIVES: A single-dose adductor canal block can provide postoperative analgesia for patients undergoing total knee arthroplasty (TKA). The purpose of this study was to assess postoperative opioid consumption after ultrasound-guided single-injection bupivacaine compared with saline adductor canal block for patients undergoing TKA. METHODS: After institutional review board approval, written informed consent was obtained from patients (>18 years old) undergoing elective TKA...
November 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27755037/is-an-adductor-canal-block-really-better-than-a-femoral-block-for-anterior-cruciate-ligament-reconstruction
#6
Luca La Colla, Jacques E Chelly
No abstract text is available yet for this article.
November 2016: Anesthesiology
https://www.readbyqxmd.com/read/27749354/continuous-peripheral-nerve-blocks-an-update-of-the-published-evidence-and-comparison-with-novel-alternative-analgesic-modalities
#7
Brian M Ilfeld
A continuous peripheral nerve block (CPNB) consists of a percutaneously inserted catheter with its tip adjacent to a target nerve/plexus through which local anesthetic may be administered, providing a prolonged block that may be titrated to the desired effect. In the decades after its first report in 1946, a plethora of data relating to CPNB was published, much of which was examined in a 2011 Anesthesia & Analgesia article. The current update is an evidence-based review of the CPNB literature published in the interim...
October 3, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27707556/adductor-canal-block-and-lateral-approach-of-sciatic-nerve-block-at-the-midthigh-level
#8
Yasuhiro Morimoto, Tatsunori Haruoka
No abstract text is available yet for this article.
October 1, 2016: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
https://www.readbyqxmd.com/read/27686548/-assessment-for-pain-control-efficiency-of-ultrasound-guided-adductor-canal-block-in-total-knee-arthroplasty-a-report-of-28-continuous-cases
#9
M W Zhao, H Tian, N Wang, M Li, X Geng, Q Y Zhou
Objective: To assess the pain control efficiency of continuous adductor canal block in total knee arthroplasty. Methods: From October to December 2015, patients with severe knee osteoarthritis undergoing primary unilateral TKA were observed clinically.All of the patients received ultrasound-guided continuous adductor canal block after surgery.NPRS Pain score in rest and activity at 2, 6, 12, 24, 48 h after surgery were collected, preoperative and postoperative quadriceps strength at 24, 48 h were analyzed. Opioids consumption and anesthesia related adverse effects were also recorded...
September 20, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27673141/poster-391-prospective-double-blind-randomized-clinical-trial-to-compare-single-shot-adductor-canal-nerve-block-versus-femoral-nerve-block-combined-with-local-infiltration-analgesia-postoperative-functional-outcomes-after-total-knee-arthroplasty
#10
George Macrinici, Michelle Drescher, James Ascan, Krzysztof Babicz, Janet Clark, Paul Lagomarcino
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27662067/local-anesthetic-induced-myotoxicity-after-continuous-adductor-canal-block
#11
Joseph M Neal, Francis V Salinas, Daniel S Choi
OBJECTIVE: Local anesthetic-induced myotoxicity occurs consistently in animal models, yet is reported rarely in humans. Herein, we describe 3 sentinel cases of local anesthetic myotoxicity after continuous adductor canal block (ACB). CASE REPORT: Three patients underwent total knee arthroplasty that was managed with subarachnoid block plus ACB induced with 1.5% lidocaine or 1.5% mepivacaine bolus followed by 2% ropivacaine at 8 mL/h. Although initial postoperative recovery was normal, each patient on either postoperative day 1 or 2 developed progressive, profound weakness of the quadriceps muscles...
September 22, 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27627711/analgesic-efficacy-of-adductor-canal-block-in-total-knee-arthroplasty-a-meta-analysis-and-systematic-review
#12
REVIEW
Xu Jiang, Qian-Qian Wang, Cheng-Ai Wu, Wei Tian
The aim of this meta-analysis and systematic review of randomized controlled trials (RCTs) was to evaluate the efficacy and safety of adductor canal block (ACB) for early postoperative pain management in patients undergoing total knee arthroplasty (TKA). Relevant manuscripts comparing ACB with saline or femoral nerve block (FNB) in TKA patients were searched for in the databases of PubMed, EMBASE, and Cochrane library. The outcomes assessed included cumulative analgesic consumption, pain at rest or during movement, ability to ambulate, quadriceps strength, and complications (nausea, vomiting or sedation)...
August 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/27592690/post-operative-analgesia-using-intermittent-vs-continuous-adductor-canal-block-technique-a-randomized-controlled-trial
#13
D Thapa, V Ahuja, P Verma, S Gombar, R Gupta, D Dhiman
BACKGROUND AND OBJECTIVES: Intermittent boluses for neural blockade provide better post-operative analgesia when compared to continuous infusion. However, these techniques of administration have not yet been compared while performing adductor canal block (ACB). We compared intermittent vs. continuous ACB for managing post-operative pain following anterior cruciate ligament (ACL) reconstruction. The primary endpoint was total morphine consumption for 24 h post-operatively in both the groups...
November 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27592218/meta-analysis-of-epidural-analgesia-versus-peripheral-nerve-blockade-after-total-knee-joint-replacement
#14
Adam Daniel Gerrard, Ben Brooks, Peter Asaad, Shahab Hajibandeh, Shahin Hajibandeh
BACKGROUND: Postoperative pain after major knee surgery can be severe. Our aim was to compare the outcomes of epidural analgesia and peripheral nerve blockade (PNB) in patients undergoing total knee joint replacement (TKR). Moreover, we aimed to compare outcomes of adductor canal block (ACB) with those of femoral nerve block (FNB) after TKR. METHODS: We conducted a systematic search of electronic information sources, including MEDLINE; EMBASE; CINAHL; and the Cochrane Central Register of Controlled Trials (CENTRAL)...
September 3, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27557955/effects-of-multi-site-infiltration-analgesia-on-pain-management-and-early-rehabilitation-compared-with-femoral-nerve-or-adductor-canal-block-for-patients-undergoing-total-knee-arthroplasty-a-prospective-randomized-controlled-trial
#15
Donghai Li, Zhen Tan, Pengde Kang, Bin Shen, Fuxing Pei
PURPOSE: The aim of this study was to combine intra-articular and peri-articular with wound infiltration analgesia (multi-site infiltration analgesia, MIA) for patients undergoing total knee arthroplasty (TKA) and compare its pain management and early rehabilitation effect with the commonly used nerve block including adductor cannel block (FNB) and femoral nerve block (ACB). METHOD: We conducted a prospective randomized controlled trial and 77 patients were included for analysis...
August 25, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27555206/addition-of-buprenorphine-to-local-anesthetic-in-adductor-canal-blocks-after-total-knee-arthroplasty-improves-postoperative-pain-relief-a-randomized-controlled-trial
#16
Sandeep H Krishnan, Lisa A Gilbert, Farhad Ghoddoussi, Daniel J Applefield, Safa S Kassab, Terry A Ellis
BACKGROUND AND OBJECTIVES: For the hundreds of thousands of patients who undergo total knee arthroplasty (TKA) in the United States each year, early mobilization has been demonstrated to improve functional outcomes and reduce complications. Management of postoperative pain is a critical factor in achieving early mobilization. Recent studies have shown that the use of an adductor canal block (ACB) after TKA results in increased preservation of quadriceps muscle strength, without significant difference in postoperative pain when compared to femoral nerve block...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27552243/iatrogenic-pseudoaneurysm-after-continuous-adductor-canal-block
#17
Gianluca Cappelleri, Pietro Molinari, Antonella Stanco
No major complications have been associated with the ultrasound-guided continuous adductor canal block (cACB). We present a case of iatrogenic pseudoaneurysm in a branch of the superficial femoral artery in a 44-year-old patient after a cACB for knee surgery. Both anesthesia and surgery were completed uneventfully. The postoperative day 3 examination showed a complete quadricep impairment and a large hematoma in a medial-anterior part of the thigh, and laboratory tests reported hemoglobin = 7.2 g dL. The computed tomography scan revealed the pseudoaneurysm (16 × 16 × 18 mm) that was successfully embolized after selective catheterization...
August 22, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/27547901/disappointing-discourse-adductor-canal-versus-femoral-nerve-block
#18
COMMENT
Lauren M Smith, Michael J Barrington
No abstract text is available yet for this article.
September 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27442773/interfascial-spread-of-injectate-after-adductor-canal-injection-in-fresh-human-cadavers
#19
Pierre Goffin, Jean-Pierre Lecoq, Vincent Ninane, Jean Francois Brichant, Xavi Sala-Blanch, Philippe E Gautier, Pierre Bonnet, Alain Carlier, Admir Hadzic
The adductor canal block has become a common analgesic technique in patients undergoing knee arthroplasty. Dispersion of local anesthetic outside the adductor canal through interfascial layers and blockade of smaller nerves that confer innervation to the knee could contribute to the analgesic efficacy of the adductor canal block. We studied the diffusion of local anesthetic mixed with dye after injection into the adductor canal in fresh human cadavers. In all 8 legs, injectate was found in the popliteal fossa in contact with the sciatic nerve and/or popliteal blood vessels...
August 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27387351/duloxetine-and-subacute-pain-after-knee-arthroplasty-when-added-to-a-multimodal-analgesic-regimen-a-randomized-placebo-controlled-triple-blinded-trial
#20
Jacques T YaDeau, Chad M Brummett, David J Mayman, Yi Lin, Enrique A Goytizolo, Douglas E Padgett, Michael M Alexiades, Richard L Kahn, Kethy M Jules-Elysee, Kara G Fields, Amanda K Goon, Yuliya Gadulov, Geoffrey Westrich
BACKGROUND: Duloxetine is effective for chronic musculoskeletal and neuropathic pain, but there are insufficient data to recommend the use of antidepressants for postoperative pain. The authors hypothesized that administration of duloxetine for 15 days would reduce pain with ambulation at 2 weeks after total knee arthroplasty. METHODS: In this triple-blinded, randomized, placebo-controlled trial, patients received either duloxetine or placebo for 15 days, starting from the day of surgery...
September 2016: Anesthesiology
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