Sanjay K Sinha, Woodland Anesthesiology Associates in St. This technique was first described by Dr. The IPACK block is performed using the latest ultrasound equipment to pinpoint the exact location to infiltrate nerves going to your knee joint. The IPACK block is a muscle strength-sparing technique that consists of an infiltration of local anesthetic into the interspace between the popliteal artery and the posterior capsule of the knee meant to be used as an alternative analgesic supplement to the femoral or adductor canal blocks to cover the posterior knee pain. While the sciatic nerve block results in the best analgesia for the posterior aspect of the knee, motor weakness of the lower extremity preventing early rehabilitation and masking intraoperative common peroneal nerve (CPN) injury do not make it an ideal analgesic modality. What is the rationale for the IPACK block? This month’s addition to the NYSORA web application is the I nfiltration between the P opliteal artery and C apsule of the K nee or the IPACK block.

Richard Teames in a lively discussion of techniques and indications for performing ultrasound-guided Pericapsular Nerve Group. Ultrasound-Guided PENG and FICB Blocks for Hip Surgery Monday, April 19, 2021. However, the differences in the analgesic efficacy between these techniques are not well defined. In NYSORA we continue working to create new educational content that combines the latest evidence-based information with requests from NYSORA readers. Ultrasound-Guided Adductor Canal and iPACK Blocks for Knee Surgery Wednesday, June 15, 2022. PAI and ultrasound-guided ACB with iPACK block is useful as a component of the enhanced recovery program for total knee arthroplasty. Table of Contents New Addition: IPACK BLOCK! Background and objectives Ultrasound-guided infiltration of the interspace between the popliteal artery and capsule of the knee (iPACK) block, a new regional analgesic technique, is believed to relieve posterior knee pain, after total knee arthroplasty, by targeting the articular branches innervating posterior aspect of the joint.

Ipack block ultrasound