Analgesic effect of continuous adductor canal block versus continuous femoral nerve block for knee arthroscopic surgery: a randomized trial

Sinha, Chandni; Singh, Akhilesh Kumar; Kumar, Ajeet; Kumar, Sudeep; Kumari, Poonam

doi:10.1016/j.bjane.2021.03.017

Cited by 3 publications

(2 citation statements)

References 20 publications

(25 reference statements)

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“…Various anesthetic techniques are available, including general anesthesia, spinal anesthesia, and regional anesthesia, with or without sedation. Certain patients may benefit from the addition of regional blockade of the femoral nerve using the adductor canal approach 19 or classic sciatic nerve block. A small dose of a short-acting opioid, such as 50 to 100 mcg of fentanyl, is typically administered on induction of anesthesia to facilitate airway placement.…”

Section: Multimodal Approachesmentioning

confidence: 99%

Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery

Day,

Boryan

2023

J Am Acad Orthop Surg

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Nonarthroplasty knee procedures are common and may cause a wide spectrum of postoperative pain, ranging from minimal to severe, depending on the patient, pathology, and procedure. Procedures include ligament repair and reconstruction, especially anterior cruciate ligament reconstruction, meniscal débridement, repair and transplant, periarticular osteotomy, and cartilage restoration. Multimodal analgesia regimens have been implemented successfully, but notable variation characterizes current protocols. Increased public and physician awareness of the burden of opioid usage in the United States has encouraged the medical community to embrace opioid-minimizing and nonopioid techniques to mitigate the deleterious effects of these medications. Nonopioid medications; anesthesia techniques; surgical techniques; and postoperative nonmedication strategies, including physical therapy, transcutaneous electrical nerve stimulation, cryotherapy, cognitive techniques, and non-Western interventions, can form part of an effective multimodal approach. A multimodal approach can facilitate adequate analgesia without compromising patient satisfaction or outcome.

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Section: Multimodal Approachesmentioning

confidence: 99%

Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery

Day,

Boryan

2023

J Am Acad Orthop Surg

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“… 19 The continuous adductor canal block was superior to continuous femoral block, in a prospective randomized, controlled study with 60 participants submitted to knee arthroplasty, published by Sinha et al in the current issue. 20 Indeed, continuous or bolus adductor canal block has been recently considered as level of evidence 1a in this type of surgery. 21 …”

mentioning

confidence: 99%