Revista Colombiana de Anestesiología最新文献

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IPACK block: emerging complementary analgesic technique for total knee arthroplasty IPACK阻滞:全膝关节置换术中新兴的互补镇痛技术
Revista Colombiana de Anestesiología Pub Date : 1969-12-31 DOI: 10.1097/cj9.0000000000000153
A. F. Caballero-Lozada, Juan Manuel Gomez, J. Ramirez, Mónica Posso, A. Zorrilla-Vaca, Luis Fernando Lasso
{"title":"IPACK block: emerging complementary analgesic technique for total knee arthroplasty","authors":"A. F. Caballero-Lozada, Juan Manuel Gomez, J. Ramirez, Mónica Posso, A. Zorrilla-Vaca, Luis Fernando Lasso","doi":"10.1097/cj9.0000000000000153","DOIUrl":"https://doi.org/10.1097/cj9.0000000000000153","url":null,"abstract":"Introduction: Pain control in total knee arthroplasty (TKA) is a determining factor in the patient’s rehabilitation process. With conventional peripheral blocking techniques for the posterior compartment, foot drop, and distal motor deficit have been reported. The infiltration between popliteal artery and capsule of the knee (IPACK) block is a promising emerging analgesic technique. Objective: To describe analgesic control, opioid consumption, and mobility of patients scheduled for TKA using IPACK block as adjunct analgesic to the femoral block. Methods: We conducted a prospective observational cohort study over a 6-month period in adults taken to TKA. Sociodemographic and anthropometric characteristics, laterality, postoperative pain, and opioid consumption, patient and surgeon satisfaction (Likert), postoperative nausea and vomiting, and walk in the first 24hours, were evaluated and reported with a descriptive analysis. Results: Twenty-seven patients taken to TKA received an IPACKblock. The pain score remained in amild level during the 48 hours of evaluation. In 73% of the cases, an opioid rescue dosewas not required; 81% of the patients managed to walk in the first 24 hours. Conclusion: The IPACK block, combined with femoral block and neuraxial anesthesia, turn out to be an excellent analgesic strategy for TKA, achieving adequate pain management, prompt rehabilitation, and early ambulation of the patient.","PeriodicalId":307633,"journal":{"name":"Revista Colombiana de Anestesiología","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1969-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132136245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Coagulopatía temprana en trauma
Revista Colombiana de Anestesiología Pub Date : 1900-01-01 DOI: 10.5554/rca.v39i1.172//suffix
Jorge Humberto Mejía Mantilla
{"title":"Coagulopatía temprana en trauma","authors":"Jorge Humberto Mejía Mantilla","doi":"10.5554/rca.v39i1.172//suffix","DOIUrl":"https://doi.org/10.5554/rca.v39i1.172//suffix","url":null,"abstract":"","PeriodicalId":307633,"journal":{"name":"Revista Colombiana de Anestesiología","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131400460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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