Study of USG Guided Adductor Canal Block and IPACK Block for Postoperative Analgesia in Knee Surgeries
Authors/Creators
- 1. Associate Professor, Department of Anaesthesia, Narendra Modi Medical College, Ahmedabad, Gujarat
- 2. M.D Anesthesia, Critical Care Fellow, Shree Krishna Hospital, Karamsad, Gujarat
- 3. Assistant Professor, Department of Anaesthesia, GCS Medical College, Ahmedabad, Gujarat
- 4. First Year Resident, Department of Anaesthesia, Narendra Modi Medical College, Ahmedabad, Gujarat
- 5. First Year Resident, Department of Anaesthesia, GCS Medical College, Ahmedabad, Gujarat
Description
Background and Aim: Targeting postoperative pain relief in major knee surgery is a real challenge for the new advancements in technology and knowledge. The development of ultrasound guidance to block acute and chronic pain has gained more and more trust in the last decade. The aim of the study was to evaluate the effect of USG guided Adductor Canal Block and IPACK block for postoperative analgesia in elective knee surgeries. Material and Methods: Sixty adult patients of ASA grade I and II, aged between 18 and 70 yrs posted for elective knee surgeries were selected and all the patients were operated under spinal anaesthesia using 0.5% 3 ml heavy Bupivacaine. Patients were divided into 2 groups at the end of surgery. Group R+D (Ropivacaine+Dexamethasone): USG guided 0.2% Ropivacaine 19 ml + Dexamethasone 1 ml (4 mg) for each block ie.ACB and IPACK block (Total 40 ml) Group C (Control): Patients received no block, however, postoperative pain was relieved by giving rescue analgesic Inj Tramadol. (1 mg/kg) when VAS≥4. Vital parameters like Heart Rate (HR), Blood Pressure (BP), Respiratory Rate (RR), Oxygen saturation (SpO2) at room air were noted. Patients were observed for VAS Scale and any complications and toxicity of the drugs injected. Results: There was no significant difference in both groups in terms of demographic variables. The difference in VAS score among both the groups during 4 to 7 hours was statistically significant. Vitals were comparable between both groups. Total Consumption of Analgesic Drug (Inj Tramadol) in 24 Hours was 75±25.42 mg in Group R+D, whereas it was 195±15.26 mg in Group C, which was statistically significant. Conclusion: The ultrasound-guided ACB+IPACK block could relieve pain during the first 24-hour postoperative period, decrease the total postoperative analgesic consumption in 24 hours and significantly prolong the time for first rescue analgesic requirement after knee surgeries like Total knee arthroplasty and Arthroscopic knee surgeries.
Abstract (English)
Background and Aim: Targeting postoperative pain relief in major knee surgery is a real challenge for the new advancements in technology and knowledge. The development of ultrasound guidance to block acute and chronic pain has gained more and more trust in the last decade. The aim of the study was to evaluate the effect of USG guided Adductor Canal Block and IPACK block for postoperative analgesia in elective knee surgeries. Material and Methods: Sixty adult patients of ASA grade I and II, aged between 18 and 70 yrs posted for elective knee surgeries were selected and all the patients were operated under spinal anaesthesia using 0.5% 3 ml heavy Bupivacaine. Patients were divided into 2 groups at the end of surgery. Group R+D (Ropivacaine+Dexamethasone): USG guided 0.2% Ropivacaine 19 ml + Dexamethasone 1 ml (4 mg) for each block ie.ACB and IPACK block (Total 40 ml) Group C (Control): Patients received no block, however, postoperative pain was relieved by giving rescue analgesic Inj Tramadol. (1 mg/kg) when VAS≥4. Vital parameters like Heart Rate (HR), Blood Pressure (BP), Respiratory Rate (RR), Oxygen saturation (SpO2) at room air were noted. Patients were observed for VAS Scale and any complications and toxicity of the drugs injected. Results: There was no significant difference in both groups in terms of demographic variables. The difference in VAS score among both the groups during 4 to 7 hours was statistically significant. Vitals were comparable between both groups. Total Consumption of Analgesic Drug (Inj Tramadol) in 24 Hours was 75±25.42 mg in Group R+D, whereas it was 195±15.26 mg in Group C, which was statistically significant. Conclusion: The ultrasound-guided ACB+IPACK block could relieve pain during the first 24-hour postoperative period, decrease the total postoperative analgesic consumption in 24 hours and significantly prolong the time for first rescue analgesic requirement after knee surgeries like Total knee arthroplasty and Arthroscopic knee surgeries.
Files
IJPCR,Vol14,Issue12,Article27.pdf
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Additional details
Dates
- Accepted
-
2022-12-08
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue12,Article27.pdf
- Development Status
- Active
References
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