Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell - North Shore University Hospital/Long Island Jewish Medical Center, Long Island, NY 11040, USA.
Department of Emergency Medicine, UC San Diego Health, San Diego, CA 92037, USA.
Pain Manag. 2023 Jul;13(7):373-378. doi: 10.2217/pmt-2022-0104. Epub 2023 Jul 17.
The genicular nerve block (GNB) performed under ultrasound is a common procedure in the perioperative and outpatient setting for the treatment of surgical knee pain and osteoarthritis. It provides motor-sparing analgesia to the knee, making it a potential alternative to other modes of pain management in the emergency department (ED). We present an elderly woman with acute-on-chronic osteoarthritic knee pain which was relieved for a week after a GNB during her ED visit. In patients with knee pain, the ultrasound guided GNB has the potential to provide short-term analgesia for patients with pain refractory to other modes of analgesia. The GNB shows promise as a reliable contribution to a multimodal approach to pain management in the ED setting.
关节神经阻滞(GNB)在超声引导下是一种常见的手术,用于治疗膝关节手术疼痛和骨关节炎,可提供膝关节运动感觉神经阻滞,是急诊室(ED)其他疼痛管理方式的潜在替代方法。我们介绍了一位患有慢性膝关节骨关节炎的老年女性患者,在 ED 就诊时接受 GNB 治疗后,膝关节疼痛缓解了一周。对于膝关节疼痛的患者,超声引导下 GNB 有可能为其他镇痛方式无效的患者提供短期镇痛。GNB 有望成为 ED 中多模式疼痛管理的可靠方法。