Community hospital implementation of the IPACK block reduces opioid use and length of stay after total knee arthroplasty

Researchers have found that the IPACK block in conjunction with the ACB significantly reduces postoperative opioid use [1,2], lowers visual analog and numeric rating scale pain scores [1,3,4], and decreases hospital length of stay (LOS) [2,5]. [...]research into the standardization of an optimal pre...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2020-10, Vol.65, p.109857-109857, Article 109857
Main Authors: VanderWielen, Beth A., Fitzsimmons, Alec J., Kovacs, Attila J., Topolski, Mark S.
Format: Article
Language:English
Subjects:
Adductor canal block
Bone surgery
Hospitals
IPACK block
Joint replacement surgery
Joint surgery
Narcotics
Opioid use
Postoperative analgesia
Regional anesthesia
Total knee arthroplasty
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Summary:Researchers have found that the IPACK block in conjunction with the ACB significantly reduces postoperative opioid use [1,2], lowers visual analog and numeric rating scale pain scores [1,3,4], and decreases hospital length of stay (LOS) [2,5]. [...]research into the standardization of an optimal preoperative MMPR for TKA patients is critical to deciphering utility, limiting well-known associated sedative side effects, and weighing the cost versus benefits in terms of healthcare system workforce burden of ordering, administering, and monitoring for medication side effects. [...]we were able to demonstrate the ease of implementation of this novel block in a community hospital by producing results consistent with current literature.Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.Acknowledgements We acknowledge the research design and statistical support from Gundersen Medical Foundation, as well as support in local practice change from both the Department of Anesthesiology and the Department of Orthopedic Surgery at Gundersen Health System, La Crosse, Wisconsin.Funding This research did not receive any specific grant funding from agencies in the public, commercial, or not-for-profit sectors.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2020.109857