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Association of iPACK block and adductor canal block in dogs undergoing the tibial plateau leveling osteotomy technique: Report of 4 cases.

作者信息

da Rosa Desirée Santos, Oliveira Isabele de Matos, da Silva Laryssa Reginaldo Ribeiro, de Souza Yasmin Santos Kaulich, Castro Gustavo Nunes de Santana

机构信息

Undergraduate in Veterinary Medicine, Universidade Iguaçu (UNIG), Nova Iguaçu, RJ, Brazil.

Veterinarian, MSc., autonomous, Paracambi, RJ, Brazil.

出版信息

Braz J Vet Med. 2024 Jun 5;46:e002324. doi: 10.29374/2527-2179.bjvm002324. eCollection 2024.


DOI:10.29374/2527-2179.bjvm002324
PMID:38868541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11168727/
Abstract

Orthopedic procedures are associated with severe postoperative pain. In TPLO, the block commonly used is the sciatic nerve block associated with the femoral nerve block. In orthopedic surgeries in human medicine, the iPACK block associated with the adductor canal block has been used as alternatives that do not affect the strength of the quadriceps femoris muscle. The objective of this study was to evaluate the trans and postoperative analgesic effect of the association of iPACK block and adductor canal block, as well as to evaluate the patient's motor recovery after surgery. Four patients were selected, without distinction of breed and gender, weighing more than 22lb, referred to TPLO. All patients underwent the combination of iPACK block and adductor canal block with 0.5% bupivacaine. The intraoperative evaluation was carried out by measuring mean arterial pressure, heart rate and respiratory rate, and all patients were stable during the procedure. The postoperative evaluation was carried out based on the assessment of pain using the modified Glasgow scale, in which all patients scored less than 05/24, and assessment of ambulation through videos using the adapted Muzzi scale, presenting ambulation between grade 1 and 2. No patient required intraoperative or postoperative analgesic rescue.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f8/11168727/e3e893bb18da/bjvm-46-e002324-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f8/11168727/fb01ac1e9cf4/bjvm-46-e002324-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f8/11168727/e3e893bb18da/bjvm-46-e002324-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f8/11168727/fb01ac1e9cf4/bjvm-46-e002324-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f8/11168727/e3e893bb18da/bjvm-46-e002324-g02.jpg

相似文献

[1]
Association of iPACK block and adductor canal block in dogs undergoing the tibial plateau leveling osteotomy technique: Report of 4 cases.

Braz J Vet Med. 2024-6-5

[2]
The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty.

Braz J Anesthesiol. 2022

[3]
Comparison of Short-Term Postoperative Analgesia by Epidural, Femoral Nerve Block, or Combination Femoral and Sciatic Nerve Block in Dogs Undergoing Tibial Plateau Leveling Osteotomy.

Vet Surg. 2015-11

[4]
Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period.

Eur J Orthop Surg Traumatol. 2018-10

[5]
Continuous adductor canal block is superior to adductor canal block alone or adductor canal block combined with IPACK block (interspace between the popliteal artery and the posterior capsule of knee) in postoperative analgesia and ambulation following total knee arthroplasty: randomized control trial.

Musculoskelet Surg. 2022-6

[6]
A Comparative Study of Ultrasound-Guided Continuous Adductor Canal Block With Ultrasound-Guided Continuous Femoral Nerve Block in Unilateral Total Knee Arthroplasty for Limb Mobilization and Analgesic Efficacy.

Cureus. 2022-3-6

[7]
Adductor Canal Block Duration of Analgesia Successfully Prolonged With Perineural Dexmedetomidine and Dexamethasone in Addition to IPACK Block for Total Knee Arthroplasty.

Cureus. 2020-9-21

[8]
Comparison of Analgesic Efficacies of the iPACK (Interspace Between the Popliteal Artery and Capsule of the Posterior Knee) and Genicular Nerve Blocks Used in Combination With the Continuous Adductor Canal Block After Total Knee Arthroplasty: A Randomized Clinical Trial.

J Arthroplasty. 2023-9

[9]
A comparison of the motor effects and analgesic efficacy following lumbar plexus block combined with sciatic nerve block or epidural in dogs undergoing tibial plateau leveling osteotomy.

Vet Anaesth Analg. 2024

[10]
The effect of continuous adductor canal block combined with distal interspace between the popliteal artery and capsule of the posterior knee block for total knee arthroplasty: a randomized, double-blind, controlled trial.

BMC Anesthesiol. 2022-6-6

本文引用的文献

[1]
The Interspace Between Popliteal Artery and Posterior Capsule of the Knee (IPACK) Block in Knee Arthroplasty: A Prospective Randomized Trial.

Pain Physician. 2022-5

[2]
Comparison of iPACK and periarticular block with adductor block alone after total knee arthroplasty: a randomized clinical trial.

J Anesth. 2022-4

[3]
Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation.

Vet Sci. 2021-9-6

[4]
Regional analgesia technique for postoperative analgesia in total knee arthroplasty: have we hit the bull's eye yet?

Braz J Anesthesiol. 2021

[5]
The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty.

Braz J Anesthesiol. 2022

[6]
Analgesic effect of continuous adductor canal block versus continuous femoral nerve block for knee arthroscopic surgery: a randomized trial.

Braz J Anesthesiol. 2022

[7]
Entrapment Neuropathies of the Lower Extremity.

Med Clin North Am. 2018-12-3

[8]
Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period.

Eur J Orthop Surg Traumatol. 2018-10

[9]
Distribution of a lidocaine-methylene blue solution staining in brachial plexus, lumbar plexus and sciatic nerve blocks in the dog.

Vet Anaesth Analg. 2008-7

[10]
Anatomical and experimental studies of brachial plexus, sciatic, and femoral nerve-location using peripheral nerve stimulation in the dog.

Vet Anaesth Analg. 2008-1

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