Outpatient Surgery Magazine - Subscribers

OR Excellence Awards 2015 - September 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 4 8 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2 0 1 5 Mastering Adductor Canal Blocks Done correctly, they can help control pain for up to 4 days. A s more and more total knee replacements and anterior cruciate liga- ment recon- structions shift to the outpa- tient setting, a novel regional anesthesia technique called an adductor canal block has emerged to help manage pain for days. The block can reduce the need for opioids, and facilitate early post-operative ambulation and rehabilitation. And when augmented with a continuous catheter and infusion pump, you can extend its effective duration for several days, providing high-quali- ty pain control during the peak period of post-surgical inflammation. In our practice, we leave adductor canal catheters in for up to 4 full days. 'Best analgesic protocol for knee arthroplasty' Similar to traditional femoral nerve blocks, adductor canal blocks provide rapid-onset analgesia. But unlike femoral blocks, they spare the quadriceps so the leg can maintain motor strength. They carry the same very rare risks as other nerve blocks, such as nerve injury and local anesthesia toxicity, but a nerve injury that occurs with an adductor canal block is likely to be a sensory neuropathy, as opposed A N E S T H E S I A A L E R T Brandon Winchester, MD z FINAL STEPS In an adductor canal block, the catheter is coiled around the insertion site and the dressing is carefully placed to avoid interfering with the sterile field. blockjocks.com

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