Anaes Cases · Ultrasound-guided peripheral nerve blocks
Adductor canal block for knee replacement
A focused case on the adductor canal vs femoral block — the adductor canal spares the quadriceps motor power (the femoral paralyzes it), enabling the early mobilisation and the reduced fall risk. The modern standard for the knee analgesia.
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ANZCAFRCAABAEDAIC
Prompt
A surgeon asks why you are doing an adductor canal block rather than a femoral nerve block for a total knee replacement. Explain the rationale.
Presentation
A total knee replacement patient. The anaesthetist has planned an adductor canal block. The surgeon asks why this is chosen over the traditional femoral nerve block.[28714207]
References2ShowHide
- [2]Wang ZX, et al. Efficacy of ultrasound and nerve stimulation guidance in peripheral nerve block: A systematic review and meta-analysis. IUBMB Life, 2017.PMID 28714206
- [28714207]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.