Adductor Canal Block for Knee Surgeries: An Emerging Analgesic Technique
نویسندگان
چکیده مقاله:
In recent years, adductor canal block (ACB) has been introduced as an alternative for femoral nerve block with a great advantage of preserving or minimally reducing quadriceps strength. The technique is relatively easy and is performed under ultrasound guidance. Despite growing evidence regarding efficacy and safety of ACB following knee surgery, use of ACB is still limited to high volume orthopedic centers where trained anesthesiologists in regional anesthesia are available. In this editorial, we aim to briefly review current evidence about ACB.
منابع مشابه
Adductor Canal Block for Post-Operative Pain Relief in Knee Surgeries: A Review Article
The adductor canal block (ACB) is newer compartment block of the saphenous nerve, which is a branch of femoral nerve, performed at the level of lower third of the thigh so that much of the motor innervation of the quadriceps group is spared, thus preserving much of the quadriceps strength making early ambulation and rehabilitation safer. The most significant advantage of the ACB over femoral ne...
متن کاملAnalgesic Efficacy of Adductor Canal Block in Total Knee Arthroplasty: A Meta‐analysis and Systematic Review
The aim of this meta-analysis and systematic review of randomized controlled trials (RCTs) was to evaluate the efficacy and safety of adductor canal block (ACB) for early postoperative pain management in patients undergoing total knee arthroplasty (TKA). Relevant manuscripts comparing ACB with saline or femoral nerve block (FNB) in TKA patients were searched for in the databases of PubMed, EMBA...
متن کاملAdductor canal block versus femoral nerve block for total knee arthroplasty: a prospective, randomized, controlled trial.
BACKGROUND This prospective double-blinded, randomized controlled trial compared adductor canal block (ACB) with femoral nerve block (FNB) in patients undergoing total knee arthroplasty. The authors hypothesized that ACB, compared with FNB, would exhibit less quadriceps weakness and demonstrate noninferior pain score and opioid consumption at 6 to 8 h postanesthesia. METHODS Patients received...
متن کاملRehabilitation Outcomes for Total Knee Arthroplasties: Continuous Adductor Canal Block Versus Continuous Femoral Nerve Block
Objective To determine whether any strength, range of motion (ROM), or functional improvement exists in the adductor canal block (ACB) group after completion of inpatient rehabilitation and following the removal of the continuous block. Design Retrospective cohort. Setting Inpatient rehabilitation at discharge and outpatient orthopedic clinic for follow-up. Participants Two hundred forty-...
متن کاملFemoral Nerve Block versus Adductor Canal Block for Analgesia after Total Knee Arthroplasty
Inadequate pain management after total knee arthroplasty (TKA) impedes recovery, increases the risk of postoperative complications, and results in patient dissatisfaction. Although the preemptive use of multimodal measures is currently considered the principle of pain management after TKA, no gold standard pain management protocol has been established. Peripheral nerve blocks have been used as ...
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عنوان ژورنال
دوره 5 شماره 3
صفحات 131- 132
تاریخ انتشار 2017-05-01
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