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Pain after knee arthroplasty: an unresolved issue. Peripheral nerve blocks for postoperative pain after major knee surgery. Systematic review of movement-evoked pain versus pain at rest in postsurgical clinical trials and meta-analyses: a fundamental distinction requiring standardized measurement. A review of the neuroanatomy and injection technique. Periarticular regional analgesia in total knee arthroplasty. Anaesthesia and analgesia for knee joint arthroplasty. The IPACK block, combined with femoral block and neuraxial anesthesia, turn out to be an excellent analgesic strategy for TKA, achieving adequate pain management, prompt rehabilitation, and early ambulation of the patient.ฤก. In 73% of the cases, an opioid rescue dose was not required 81% of the patients managed to walk in the first 24 hours. The pain score remained in a mild level during the 48 hours of evaluation.
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Twenty-seven patients taken to TKA received an IPACK block. Sociodemographic and anthropometric characteristics, laterality, postoperative pain, and opioid consumption, patient and surgeon satisfaction (Likert), postoperative nausea and vomiting, and walk in the first 24hours, were evaluated and reported with a descriptive analysis. We conducted a prospective observational cohort study over a 6-month period in adults taken to TKA. To describe analgesic control, opioid consumption, and mobility of patients scheduled for TKA using IPACK block as adjunct analgesic to the femoral block. The infiltration between popliteal artery and capsule of the knee (IPACK) block is a promising emerging analgesic technique. With conventional peripheral blocking techniques for the posterior compartment, foot drop, and distal motor deficit have been reported. Pain control in total knee arthroplasty (TKA) is a determining factor in the patient's rehabilitation process.