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Indian Journal of Anesthesia and Analgesia

Volume  7, Issue 4, July-Aug 2020, Pages 963-968
 

Original Article

Adductor Canal Block: A Prospective Case Series Report in Unilateral Total Knee Arthroplasty

Rohit Singh1, BN Seth2, Himani Arya3, Mohanjeet Singh Juneja4, Munish Khurana5, Sunil Kumar Gupta6

1Consultant, 2HOD, 3Junior Consultant, 4–6Senior Consultant, Department of Anesthesia, Sant Parmanand Hospital, Civil Lines, New Delhi, Delhi 110054, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7420.17

Abstract

Introduction: Total knee arthroplasty is associated with moderate to severe pain and effective analgesia is essential to facilitate post operative recovery. This non randomised case series examined the analgesic effect of adductor canal block as a central tool in an integrated multi modal analgesia. Material and Methods: We used adductor block to manage postoperative pain in 43 patients presenting to our service for unilateral primary total knee arthroplasty. We recorded pain scores, opioid usage and any adverse side effect. Result: Pain control was generally satisfactory. Very few patients required fentanyl infusion as a rescue analgesia. Vomiting was reported but other side effects such as hypotension, itching, fall etc were unremarkable. Conclusion: Adductor block was practical, safe and effective method of analgesia for pain relief in patients who have undergone unilateral total knee replacement.


 


Keywords : Adductor canal block, Analgesia, Total knee arthroplasty.
Corresponding Author : Rohit Singh