Motor-sparing regional anaesthesia for total knee arthroplasty: a narrative and systematic literature review.

IF 9.1 1区 医学 Q1 ANESTHESIOLOGY British journal of anaesthesia Pub Date : 2025-01-02 DOI:10.1016/j.bja.2024.10.041
Leigh White, Michael Kerr, Christopher Thang, Amit Pawa
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Abstract

Total knee arthroplasty is a life-changing surgical procedure that is associated with a high incidence of severe postoperative pain. Key to enhancing recovery after surgery is effective analgesia and early mobilisation. Innovations in motor-sparing regional anaesthesia techniques that have improved recovery include targeted surgical local infiltration analgesia, adductor canal blockade, genicular nerve blocks, and the infiltration between the popliteal artery and posterior capsule of the knee (iPACK) block. This narrative review discusses the current available motor-sparing regional anaesthetic techniques and assesses the evidence supporting each.

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全膝关节置换术中保留运动的局部麻醉:叙述和系统的文献回顾。
全膝关节置换术是一项改变患者生活的手术,其术后严重疼痛的发生率很高。提高术后恢复的关键是有效的镇痛和早期活动。保留运动的区域麻醉技术的创新改善了恢复,包括有针对性的手术局部浸润镇痛、内收肌管阻断、膝神经阻滞和腘动脉和膝关节后囊之间的浸润(iPACK)阻滞。这篇叙述性综述讨论了目前可用的保留运动的局部麻醉技术,并评估了支持每种技术的证据。
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来源期刊
CiteScore
13.50
自引率
7.10%
发文量
488
审稿时长
27 days
期刊介绍: The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience. The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence. Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.
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