Article Sidebar

PDF
Date Published: 12/04/2023
Abstract Views: 417
Views PDF: 112
DOI: https://doi.org/10.51298/vmj.v525i1A.5013
Issue
Vol. 525 No. 1A (2023)
Section
Các bài báo
How to Cite
Lưu, Q. T. ., Trịnh , T. H. ., & Vũ , H. P. . (2023). ASSESSING ADVERSE EFFECTS OF SAPHENOUS NERVE BLOCK AT THE ADDUCTOR CANAL COMBINED WITH INTERSPACE BETWEEN THE POPLITEAL ARTERY AND CAPSULE OF THE KNEE BLOCK BY ANAROPIN 0.2% FOR PAIN RELIEF AFTER KNEE ARTHROSCOPY. Vietnam Medical Journal, 525(1A). https://doi.org/10.51298/vmj.v525i1A.5013

ASSESSING ADVERSE EFFECTS OF SAPHENOUS NERVE BLOCK AT THE ADDUCTOR CANAL COMBINED WITH INTERSPACE BETWEEN THE POPLITEAL ARTERY AND CAPSULE OF THE KNEE BLOCK BY ANAROPIN 0.2% FOR PAIN RELIEF AFTER KNEE ARTHROSCOPY

Quang Thùy Lưu1,, Thu Huyền Trịnh 1,2, Hoàng Phương Vũ 2
1 Viet Duc hospital
2 Hanoi medical university

Main Article Content

Abstract

Objective: To assess some adverse effects of the saphenous nerve block at the adductor canal combined with interspace between the popliteal artery and capsule of the knee (IPACK) block for pain relief after knee arthroscopy surgery. Methods: Clinical intervention study, randomized controlled trial; 60 patients undergoing arthroscopic knee surgery were divided into 2 group by random numbers. OCK group: Patients had postoperative pain relief by adductor blockade alone; IPACK group: patients were relieved by adductor canal block in combination with IPACK. Follow-up patients within 48 hours after surgery, data are coded and processed according to statistical methods. Results: All patients in our study had a Bromage score of 0-1, none of the patients had a score of 2 or 3. The OCK group was 0.07 ± 0.25, the IPACK group was 0.06± 0 ,25. The OCK group had a higher rate of vomiting and nausea than the IPACK group (6.7% vs 3.3%). No patients encountered complications such as vascular puncture, nerve damage or swelling of the puncture site, subcutaneous hematoma, and local anesthetic toxicity. Conclusion: The adductor canal block combined with IPACK in pain relief after knee arthroscopic surgery is a safe method with few adverse effects.

Article Details

Keywords

Knee arthroscopy surgery, IPACK, saphenous nerve, adductor canal

References

1. Paul JE, Arya A, Hurlburt L, et al. Femoral Nerve Block Improves Analgesia Outcomes after Total Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials. Anesthesiology. 2010;113(5):1144-1162. Doi:10.1097/ALN.0b013e3181f4b18.
2. Hishiyama S, Ishiyama T, Asano N, Kotoda M, Ikemoto K, Matsukawa T. [Femoral Nerve Block for Total Knee Arthroplasty]. Masui. 2014;63(8):872-876.
3. Armanious SH. Adductor Canal Block versus Femoral Nerve Block in Unicompartmental Knee Arthroplasty: A Randomized, Double Blind, Prospective, Comparative Study. Published Online 2020:8.
4. Nguyễn Vũ Hà Ngân. Đánh Giá Hiệu Quả Giảm Đau Sau Phẫu Thuật Nội Soi Khớp Gối Của Phương Pháp Gây Tê Thần Kinh Đùi và Thần Kinh Hông to Dưới Hướng Dẫn Của Siêu Âm. 2017.
5. Phương VH, Hoàng NV. Ảnh Hưởng Trên Sức Mạnh Cơ Tứ Đầu Đùi Của Phương Pháp Giảm Đau Gây Tê Ống Cơ Khép Liên Tục ở Bệnh Nhân Mổ Nội Soi Khớp Gối. Published Online 2020:8.