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Adductor canal

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38 papers 0 to 25 followers
A Bonet, M Koo, A Sabaté, I Otero, J Bocos, A Pi
OBJECTIVES: Arthroscopic knee surgery is a minimally invasive technique with moderate pain during the first 24h. Our main objective was to evaluate the efficacy of ultrasound guided saphenous nerve block as a method of pain control intraoperatively and postoperatively for this surgery. MATERIAL AND METHODS: A prospective and observational study. All patients received general anesthesia with laryngeal mask in the saphenous group, nerve block was performed with 10 ml ropivacaine 0...
October 2015: Revista Española de Anestesiología y Reanimación
H L Andersen, S L Andersen, J Tranum-Jensen
BACKGROUND: The spread of injectate during a saphenous nerve block at the adductor canal has not been clearly described. METHODS: We examined the spread of 15 ml dyed injectate during ultrasound-guided saphenous nerve blocks at the adductor canal in 15 unembalmed cadavers' lower limbs followed by comparative dissections of the same limbs. RESULTS: The spread of the injectates was determined by the fascial limits and the muscles surrounding the adductor canal...
February 2015: Acta Anaesthesiologica Scandinavica
Ulrik Grevstad, Ole Mathiesen, Laura Staun Valentiner, Pia Jaeger, Karen Lisa Hilsted, Jørgen B Dahl
BACKGROUND AND OBJECTIVES: Total knee arthroplasty (TKA) is often associated with severe pain. Different regional anesthetic techniques exist, all with varying degrees of motor blockade. We hypothesized that pain relief provided by the adductor canal block (ACB) could increase functional muscle strength. METHODS: We included 50 TKA patients with severe movement-related pain; defined as having visual analog scale pain score of greater than 60 mm during active flexion of the knee...
January 2015: Regional Anesthesia and Pain Medicine
André P Boezaart, Hari K Parvataneni
No abstract text is available yet for this article.
November 2014: Regional Anesthesia and Pain Medicine
Stephen J Head, Rochelle C Leung, Greg P T Hackman, Rachael Seib, Kevin Rondi, Stephan K W Schwarz
PURPOSE: Reliable saphenous nerve blockade is a desirable complement to popliteal sciatic nerve blockade for foot and ankle surgery. We compared two promising ultrasound-guided techniques, the supine adductor canal (AC) technique and the prone peri-saphenous branch of the descending genicular artery (Peri-SBDGA) technique, using 8 mL of 2% lidocaine with epinephrine 1:400,000. METHODS: Following Research Ethics Board approval, we conducted a randomized single-blinded parallel-group trial in 102 patients undergoing foot and ankle surgery at a single centre...
January 2015: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
M Espelund, U Grevstad, P Jaeger, P Hölmich, L Kjeldsen, O Mathiesen, J B Dahl
BACKGROUND: 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 responding with moderate to severe pain after arthroscopic knee surgery. METHODS: Fifty subjects with moderate to severe pain after arthroscopic knee surgery were enrolled in this placebo-controlled, blinded trial. All subjects received two ACBs; an initial ACB with either 30 ml ropivacaine 7...
November 2014: Acta Anaesthesiologica Scandinavica
Stavros G Memtsoudis, Daniel Yoo, Ottokar Stundner, Thomas Danninger, Yan Ma, Lazaros Poultsides, David Kim, Mary Chisholm, Kethy Jules-Elysee, Alejandro Gonzalez Della Valle, Thomas P Sculco
PURPOSE: Providing effective analgesia for total knee arthroplasty (TKA) patients remains challenging. Femoral nerve block (FNB) offers targeted pain control; however, its effect on motor function, related fall risk and impact on rehabilitation has been the source of controversy. Adductor canal block (ACB) potentially spares motor fibres of the femoral nerve, but the comparative effect of the two approaches has not yet been well defined due to considerable variability in pain perception...
April 2015: International Orthopaedics
Jody C Leng, T Kyle Harrison, Brett Miller, Steven K Howard, Myles Conroy, Ankeet Udani, Cynthia Shum, Edward R Mariano
An adductor canal catheter may facilitate early ambulation after total knee arthroplasty, but there is concern over preoperative placement since intraoperative migration of catheters may occur from surgical manipulation and result in ineffective analgesia. We hypothesized that catheter type and subcutaneous tunneling may influence tip migration for preoperatively inserted adductor canal catheters. In a male unembalmed human cadaver, 20 catheter insertion trials were divided randomly into one of four groups: flexible epidural catheter either tunneled or not tunneled; or rigid stimulating catheter either tunneled or not tunneled...
April 2015: Journal of Anesthesia
Areti Adoni, Tilemachos Paraskeuopoulos, Theodosios Saranteas, Tatiana Sidiropoulou, Dimitrios Mastrokalos, Georgia Kostopanagiotou
BACKGROUND AND AIMS: The anatomic site and the volume of local anesthetic needed for an ultrasound-guided saphenous nerve block differ in the literature. The purpose of this study was to examine the effect of two different ultrasound-guided low volume injections of local anesthetic on saphenous and vastus medialis nerves. MATERIALS AND METHODS: Recruited patients (N = 48) scheduled for orthopedic surgery were randomized in two groups; Group distal adductor canal (DAC): Ultrasound-guided injection (5 ml of local anesthetic) distal to the inferior foramina of the adductor canal...
July 2014: Journal of Anaesthesiology, Clinical Pharmacology
Edward R Mariano, T Edward Kim, Michael J Wagner, Natasha Funck, T Kyle Harrison, Tessa Walters, Nicholas Giori, Steven Woolson, Toni Ganaway, Steven K Howard
OBJECTIVES: Proximal and distal (mid-thigh) ultrasound-guided continuous adductor canal block techniques have been described but not yet compared, and infusion benefits or side effects may be determined by catheter location. We hypothesized that proximal placement will result in faster onset of saphenous nerve anesthesia, without additional motor block, compared to a distal technique. METHODS: Preoperatively, patients receiving an ultrasound-guided nonstimulating adductor canal catheter for knee arthroplasty were randomly assigned to either proximal or distal insertion...
September 2014: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Thomas Fichtner Bendtsen, Bernhard Moriggl, Vincent Chan, Erik Morre Pedersen, Jens Børglum
No abstract text is available yet for this article.
September 2014: Regional Anesthesia and Pain Medicine
Nilen A Shah, Nimesh P Jain
UNLABELLED: Total knee arthroplasty is associated with intense, early post-operative pain. Femoral nerve block is known to provide optimal pain relief but reduces the strength of the quadriceps muscle and associated with the risk of falling. Adductor canal block is almost pure sensory blockade with minimal effect on quadriceps muscle strength. We prospectively randomized 100 patients in two groups' continuous adductor and femoral block group. Ambulation ability (Timed up go, 10-m walk, 30 s chair test), time to active SLR, quadsticks, staircase competency, ambulation distance was significantly better (P value < 0...
November 2014: Journal of Arthroplasty
Alberto E Ardon, Roy A Greengrass, Steven R Clendenen
No abstract text is available yet for this article.
August 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Neil A Hanson, Cindy Jo Allen, Lucy S Hostetter, Ryan Nagy, Ryan E Derby, April E Slee, Alex Arslan, David B Auyong
BACKGROUND: Adductor canal blocks have shown promise in reducing postoperative pain in total knee arthroplasty patients. No randomized, controlled studies, however, evaluate the opioid-sparing benefits of a continuous 0.2% ropivacaine infusion at the adductor canal. We hypothesized that a continuous adductor canal block would decrease postoperative opioid consumption. METHODS: Eighty subjects presenting for primary unilateral total knee arthroplasty were randomized to receive either a continuous ultrasound-guided adductor canal block with 0...
June 2014: Anesthesia and Analgesia
Henning Lykke Andersen, Dusanka Zaric
No abstract text is available yet for this article.
May 2014: Regional Anesthesia and Pain Medicine
Thomas Fichtner Bendtsen, Bernhard Moriggl, Vincent Chan, Erik Morre Pedersen, Jens Børglum
No abstract text is available yet for this article.
May 2014: Regional Anesthesia and Pain Medicine
Junping Chen, Jonathan B Lesser, Admir Hadzic, Wojciech Reiss, Francesco Resta-Flarer
OBJECTIVE: The block of nerves in the adductor canal is considered to cause a sensory block without a motor component. In this report, we describe a case of significant quadriceps muscle weakness after an adductor canal block (ACB). CASE REPORT: A 65-year-old female patient for ambulatory knee surgery was given an ACB for postoperative pain management. The block was performed under ultrasound guidance at the midthigh level using the transsartorial approach. Twenty milliliters of 0...
March 2014: Regional Anesthesia and Pain Medicine
Edward R Mariano, Anahi Perlas
No abstract text is available yet for this article.
March 2014: Anesthesiology
U Grevstad, O Mathiesen, T Lind, J B Dahl
BACKGROUND: Total knee arthroplasty (TKA) is associated with varying degrees of pain. A considerable proportion (25-40%) of patients experience severe pain, despite a comprehensive multimodal analgesic regimen. We hypothesized that adductor canal block (ACB) would reduce pain in this patient category compared with placebo. METHODS: Fifty patients with severe pain, defined as having a visual analogue scale (VAS) pain score of >60 during active flexion of the knee on the first or the second postoperative day after TKA, were included in this randomized, double-blind, placebo-controlled trial...
May 2014: British Journal of Anaesthesia
David H Kim, Yi Lin, Enrique A Goytizolo, Richard L Kahn, Daniel B Maalouf, Asha Manohar, Minda L Patt, Amanda K Goon, Yuo-Yu Lee, Yan Ma, Jacques T Yadeau
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 an ACB or FNB as a component of a multimodal analgesic. Quadriceps strength, pain score, and opioid consumption were assessed on both legs preoperatively and at 6 to 8, 24, and 48 h postanesthesia administration...
March 2014: Anesthesiology
2014-11-12 23:57:40
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