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iPACK + Adductor Canal Block vs Lumbar ESPB vs No Block for Post-TKA Analgesia
November 2025
iPACK + Adductor Canal Block vs Lumbar ESPB vs No Block for Post-TKA Analgesia
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
iPACK block with adductor canal block vs. lumbar erector spinae plane block (L-ESPB) in total knee arthroplasty: a randomized, double-blinded, controlled trial.
Anaesthesiol Intensive Ther . 2025 Aug 21;57(1):195-204.Synopsis
Ninety patients scheduled for total knee arthroplasty were randomized to receive an infiltration between the popliteal artery and capsule of the knee (iPACK) block plus adductor canal block (ACB) (n=30), an L2 lumbar erector spinae plane block (L-ESPB) (n=30), or no regional block (control) (n=30). The primary outcome was total opioid consumption within 48 hours. Secondary outcomes included pain ...
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