Open AccessAddition of Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee and Adductor Canal Block to Periarticular Injection Enhances Postoperative Pain Control in Total Knee Arthroplasty: A Randomized Controlled Trial
Author(s) -
David H. Kim,
Jonathan C. Beathe,
Yi Lin,
Jacques T. YaDeau,
Daniel B. Maalouf,
Enrique A. Goytizolo,
Christopher Garnett,
Amar S. Ranawat,
Edwin P. Su,
David J. Mayman,
Stavros G. Memtsoudis
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003794
Subject(s) - adductor canal , medicine , randomized controlled trial , anesthesia , arthroplasty , analgesic , popliteal artery , confidence interval , opioid , surgery , receptor
Periarticular injections (PAIs) are becoming a staple component of multimodal joint pathways. Motor-sparing peripheral nerve blocks, such as the infiltration between the popliteal artery and capsule of the posterior knee (IPACK) and the adductor canal block (ACB), may augment PAI in multimodal analgesic pathways for knee arthroplasty, but supporting literature remains rare. We hypothesized that the addition of ACB and IPACK to PAI would lower pain on ambulation on postoperative day (POD) 1 compared to PAI alone.