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在膝关节完全置换后,IPACK 阻断对急性疼痛管理的有效性:一篇评论

William C Upshaw¹, John M Richey¹, Joseph P Tassin²

¹School of Medicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA, 71103, USA.

Current pain and headache reports

|March 23, 2024

概括

结合添加管道阻塞 (ACB) 的IPACK阻塞在全膝关节置换 (TKR) 后提供了卓越的疼痛缓解. 这种组合有效地管理术后膝盖疼痛,减少阿片类药物使用和住院.

科学领域:

麻醉学麻醉学
整形外科手术整形外科手术
疼痛管理疼痛管理

背景情况:

总膝关节置换 (TKR) 经常导致显著的术后膝关节疼痛.
添加管道阻塞 (ACB) 是TKR疼痛的常见神经阻塞,但不解决后膝内.
IPACK 阻断的目标是后膝关节内,可能补充ACB.

研究的目的:

审查IPACK阻断剂的理由,程序和临床疗效.
评估IPACK阻断的有效性,特别是当与TCR疼痛管理的ACB一起使用时.
综合临床试验的发现,将IPACK + ACB与其他神经阻断技术进行比较.

主要方法:

对检查IPACK阻断TKR的临床试验的系统审查.
对其他神经阻塞 (例如,PMDI+ACB,SPANK+ACB,PAI+ACB,单独的ACB,SCAB,CACB,4 in 1 块) 的IPACK + ACB疗效的比较.
基于阿片类药物消费,患者报告的疼痛评分和住院时间的有效性评估.

主要成果:

在七项审查的临床试验中,有五项表明IPACK + ACB阻断在治疗TKR疼痛方面具有优越的疗效,与其他阻断相比.
两项试验发现,IPACK + ACB 阻断剂的效果低于某些其他阻断剂,包括 CACB 和 4 in 1 阻断剂.
总的来说,在大多数比较研究中,IPACK + ACB证明了改善疼痛管理结果.

结论:

当IPACK阻断剂与ACB一起使用时,在全膝关节置换后增强疼痛缓解方面显示出显著的希望.
这种结合的神经阻塞方法可能为管理TKR相关疼痛提供更全面的解决方案.
进一步的研究和临床应用得到了证据的支持,这些证据表明患者的治疗结果有所改善.

关键词:

止痛治疗是一种止痛治疗.在 IPACK 封锁区块.周围神经的阻断.手术后的疼痛术后的疼痛整体膝关节置换整体膝关节置换

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