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IPACK Block Efficacy for Acute Pain Management after Total Knee Replacement: A Review.

William C UpshawJohn M RicheyJoseph P TassinMark V FrolovBenjamin C MillerAaron J KayeJeffrey SterrittCharles J FoxShahab AhmadzadehSahar ShekoohiAlan D Kaye
Published in: Current pain and headache reports (2024)
5 of the 7 clinical trials examined in this article showed the IPACK + ACB block to show superior efficacy in treating pain following TKR compared to other blocks. These blocks included PMDI+ACB, SPANK+ACB, PAI+ACB, ACB alone, and SCAB. 2 of the 7 clinical trials showed the IPACK + ACB to be less effective in managing patients pain following TKR compared to other blocks which included the CACB and 4 in 1 block. In most instances, the IPACK + ACB showed superior efficacy in managing patients' pain following TKR when compared to other types of nerve blocks. This was determined by measuring usage of opioids, reported postoperative pain, and length of hospital stays following TKR. Thus, we suppose the IPACK block may be used in conjunction with the ACB to effectively reduce patient's pain following TKR.
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