Addition of an interspace between the popliteal artery and capsule of the posterior knee (IPACK) block and adductor canal block (ACB) to periarticular injection (PAI) is associated with less pain after total knee arthroplasty (TKA), according to a study presented at the 2018 World Congress on Regional Anesthesia and Pain Medicine, held from April 19 to 21 in New York City.
The researchers found that intervention patients reported lower numeric rating scale pain scores on ambulation than the control group on postoperative day (POD) one (1.7 versus 5.0; P < 0.001); significant differences were also seen on PODs zero and two (1.7 versus 5.2 [P < 0.001] and 4.5 versus 5.5 [P = 0.025], respectively). Significantly lower pain scores were also reported after physical therapy on POD zero and one in the intervention group (1.9 and 1.4, respectively; P < 0.001). Patients who received the intervention also had less opioid consumption, less intravenous opioids, and less intravenous patient controlled analgesia.
Source: Medical Xpress
