Article Sidebar

PDF
Date Published: 16/05/2023
Abstract Views: 581
Views PDF: 175
DOI: https://doi.org/10.51298/vmj.v526i1A.5351
Issue
Vol. 526 No. 1A (2023)
Section
Các bài báo
How to Cite
Trịnh , T. H. ., Vũ , H. P. ., & Lưu , Q. T. . (2023). PAIN RELIEF EFFECT AFTER KNEE ARTHROSCOPIC SURGERY 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%. Vietnam Medical Journal, 526(1A). https://doi.org/10.51298/vmj.v526i1A.5351

PAIN RELIEF EFFECT AFTER KNEE ARTHROSCOPIC SURGERY 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%

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

Main Article Content

Abstract

Objective: To compare the pain relief effec after knee arthroscopy between the saphenous nerve block at the adductor canal combined with interspace between the popliteal artery and capsule of the knee (IPACK) and the adductor canal block alone. 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: The total dose of morphine used in 12-24h and 48h in IPACK group was much lower than that of the simple adductor block group. The 48-hour mean morphine dose was 21.27 ± 5.56 mg versus 41.33 ± 5.84 mg. The time required for the first morphine dose of the intervention group was also much longer than that of the control group 7.67 ± 1.01 h (6h shortest and 8h longest) compared with 9.55 ± 0.80 01h (shortest was 8h and longest was 11h).VAS score of IPACK group at the time after the blockade for 10 minutes and in the first 18 hours after surgery, both at rest and during exercise, were statistically significantly lower than in the simple adductor block group. Conclusion: The saphenous nerve block at the adductor canal combined with interspace between the popliteal artery and capsule of the knee block under ultrasound guidance is an effective pain relief method for knee arthroscopy and is better than the simple adductor block.

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. Amin MAA, Abotaleb UI. Value of IPACK Block (Interspace between the Popliteal Artery and the Capsule of the Posterior Knee) with Adductor Canal Block in Total Knee Arthroplasty. Published Online 2021:6.
6. Amer N. Combined Adductor Canal and i-PAK Blocks Is Better than Combined Adductor Canal and Periarticular Injection Blocks for Painless ACL Reconstruction Surgery. :4.
7. Huang A, Singh PA, Woon KL. Interspace between the Popliteal Artery and the Capsule of the Knee (IPACK) Block for Anterior Cruciate Ligament Reconstruction Surgery: A Two Case Series. Open J Anesthesiol.:10.