Effect of adductor‐canal‐blockade on established, severe post‐operative pain after total knee arthroplasty: a randomised study

@article{Jger2012EffectOA,
  title={Effect of adductor‐canal‐blockade on established, severe post‐operative pain after total knee arthroplasty: a randomised study},
  author={Pia J{\ae}ger and Ulrik Grevstad and Maria H. Henningsen and Bo Gottschau and Ole Mathiesen and J{\o}rgen Berg Dahl},
  journal={Acta Anaesthesiologica Scandinavica},
  year={2012},
  volume={56}
}
BACKGROUND In this proof-of-concept study, we investigated the effect of the predominantly sensory adductor-canal-blockade on established pain in the early post-operative period after total knee arthroplasty (TKA. [] Key MethodMETHODS We enrolled patients scheduled for elective TKA into this double-blind, placebo-controlled, randomised study.
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125 Citations
Highly Influential Citations
5
Background Citations
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Methods Citations
7
Results Citations
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125 Citations

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Citation Type

Prevalence of saphenous nerve injury after adductor‐canal‐blockade in patients receiving total knee arthroplasty
TLDR
The aim of this follow-up study was to determine the prevalence of saphenous nerve injury in patients receiving adductor‐canal‐blockade for pain treatment after total knee arthroplasty.
The efficacy of adductor canal blockade after minor arthroscopic knee surgery – a randomised controlled trial
TLDR
It is hypothesized that the ACB would reduce pain and analgesic requirements after minor arthroscopic knee surgery and be effective in the treatment of post‐operative pain after major knee surgery.
Adductor canal blockade for moderate to severe pain after arthroscopic knee surgery: a randomized controlled trial
The analgesic effect of the adductor canal block (ACB) after knee surgery has been evaluated in a number of trials. We hypothesized that the ACB would provide substantial pain relief to patients…
Ultrasound‐guided adductor canal block after arthroscopic anterior cruciate ligament reconstruction: Effect of adding dexamethasone to bupivacaine, a randomized controlled trial
TLDR
The effect of adding dexamethasone to bupivacaine on the duration of postoperative analgesia in patients undergoing knee arthroscopy using ultrasound‐guided adductor canal block is evaluated.
Adductor Canal Block for Total Knee Arthroplasty: A Review of the Current Evidence
TLDR
Based on the current evidence, it is recommended that an adductor canal block could replace a femoral nerve block as the primary regional analgesic following total knee arthroplasty.
Analgesic Efficacy of Adductor Canal Block in Total Knee Arthroplasty: A Meta‐analysis and Systematic Review
TLDR
It is suggested that, compared with saline, ACB decreases analgesic consumption and offers short‐term advantages in terms of pain relief, and was associated with better ability to ambulate and quadriceps strength.
Review Article: Ultrasound-Guided Adductor Canal Block for Post-Operative Analgesia in Knee Arthroscopy
TLDR
Adductor Canal Block provides postoperative analgesia that is at least as good as FNB while preserving quadriceps strength help early ambulation and rehabilitation and reduces the incidence of fall after knee surgeries.
The Adductor Canal Block: a Clinical Review
TLDR
It is strongly believe, based on the current evidence available, that the ACB will replace FNB for postoperative analgesia following primary total knee arthroplasty.
Adductor canal block for knee surgical procedures: review article.
Comparison between effects of adductor canal block and femoral nerve block on early postoperative course in total knee arthroplasty: A prospective double-blind, randomized controlled study
TLDR
Adductor canal block (ACB) may promote early ambulation after TKA without a reduction in analgesia when compared with FNB, and this was a prospective, randomized, controlled, double-blinded study.
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References

SHOWING 1-10 OF 11 REFERENCES
Effects of Adductor‐Canal‐Blockade on pain and ambulation after total knee arthroplasty: a randomized study
TLDR
It is hypothesized that the adductor‐canal‐blockade may reduce morphine consumption, improve pain relief, enhance early ambulation ability, and reduce side effects after TKA compared with placebo.
Continuous adductor‐canal‐blockade for adjuvant post‐operative analgesia after major knee surgery: preliminary results
TLDR
Preliminary findings in eight patients demonstrated that a continuous adductor‐canal‐blockade for 48 h after TKA was associated with low mean pain scores at rest and low mean requirements for supplemental morphine.
The Effect of Single-Injection Femoral Nerve Block On Rehabilitation And Length of Hospital Stay After Total Knee Replacement
TLDR
Single-injection FNB provided effective analgesia, facilitated early ambulation, and reduced the length of acute hospitalization in patients undergoing total knee replacement.
The Association Between Lower Extremity Continuous Peripheral Nerve Blocks and Patient Falls After Knee and Hip Arthroplasty
TLDR
There is a causal relationship between CPNB and the risk of falling after knee and hip arthroplasty, and 3 previously published, randomized, triple-masked, placebo-controlled studies of CPNBs involving the femoral nerve suggest this.
Efficacy of an ultrasound-guided subsartorial approach to saphenous nerve block: a case series
TLDR
This case series shows that an ultrasound-guided subsartorial approach to saphenous nerve blockade is a moderately effective means to anesthetize the anteromedial lower extremity with a success rate based on stringent criteria with an endpoint of postoperative analgesia.
Preliminary Experience With a New Approach to Performing an Ultrasound-Guided Saphenous Nerve Block in the Mid to Proximal Femur
TLDR
A simple and effective ultrasound-guided technique of blocking the SN in the mid to proximal femur that has gained popularity at the authors' institutions and is referred to as the SFA saphenous technique (SFAST) block.
Anatomy and Clinical Implications of the Ultrasound-Guided Subsartorial Saphenous Nerve Block
TLDR
Ultrasound-guided injection directly caudally from the inferior foramina of the adductor canal, between the sartorius muscle and the femoral artery, seems to be an effective approach for saphenous nerve block.
Continuous Femoral Nerve Blocks: Varying Local Anesthetic Delivery Method (Bolus versus Basal) to Minimize Quadriceps Motor Block while Maintaining Sensory Block
TLDR
This study did not find evidence to support the hypothesis that varying the method of local anesthetic administration—basal infusion versus repeated bolus doses—influences continuous femoral nerve block effects to a clinically significant degree.
Effects of continuous AdductorCanal-Blockade on pain and ambulation after total knee arthroplasty: a randomized study
  • Acta Anaesthesiol Scand
  • 2012
tinuous adductor - canal - blockade for adjuvant post - operative analgesia after major knee surgery : preliminary results
  • Acta Anaesthesiol Scand
  • 2011
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