Application of Genicular Nerves Block Combined with iPACK Block in Postoperative Analgesia of Total Knee Arthroplasty

Yan-Wen Zeng, Yan Xu
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Abstract

The incidence of moderate to severe pain after total knee arthroplasty (TKA) ranges from 30-60% [1]. In the context of enhanced recovery after surgery, multimodal analgesia with peripheral nerve block as the core has become the main method of postoperative analgesia after TKA, and good analgesia is conducive to the early recovery of patients. Genicular nerve block (GNB) provides good analgesia anterior to the knee, while infiltration between the popliteal artery and capsule of the knee (iPACK) block provides good analgesia posterior to the knee [2]. We report a case of genicular nerve block combined with iPACK block for postoperative analgesia after total knee arthroplasty.
神经传导阻滞联合iPACK阻滞在全膝关节置换术后镇痛中的应用
全膝关节置换术(TKA)后中度至重度疼痛的发生率在30-60%[1]之间。在术后恢复增强的背景下,以外周神经阻滞为核心的多模式镇痛已成为TKA术后镇痛的主要方法,良好的镇痛有利于患者早日康复。生殖器神经阻滞(GNB)在膝关节前方提供良好的镇痛作用,而腘动脉和膝关节囊之间的浸润(iPACK)阻滞在膝关节后方提供良好的止痛作用[2]。我们报告了一例膝神经阻滞联合iPACK阻滞用于全膝关节置换术后镇痛的病例。
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