Top Tweets for #Poplitealplexusblock

about 1 year ago

📑 Rethinking Posterior Knee Blocks in TKA: Lessons from the PPB vs IPACK Trial 🎯📈 #RegionalAnesthesia #TKA #KneeSurgery #PostoperativePain #PoplitealPlexusBlock #IPACK #FemoralTriangleBlock #AdductorCanalBlock #DualSubsartorialBlock #TipOfTheDay #MyRATips Tip of the Day: 🔹 🎯 Same Target, Different Routes ◉ The article compared Popliteal Plexus Block (PPB) with IPACK in TKA. ◉ Anatomically, both infiltrate the popliteal plexus region, covering the same innervation. ◉ No surprise the study showed similar outcomes - both techniques are essentially overlapping. 🔹 📊 Redundancy in Study Design ◉ By combining both with Femoral Triangle Block (FTB), the trial diluted any real difference. ◉ The results largely reaffirm anatomy, rather than providing new clinical insight. 🔹 ⚡ Posterior Pain is Secondary ◉ As highlighted in many pain studies, posterior/intra-articular pain is less troublesome than extra-articular anterior pain. ◉ The FTB remains the major contributor to postoperative analgesia and functional recovery. 🔹 ⏱ Limitation: Preoperative Requirement ◉ Both PPB and IPACK must be performed before incision. ◉ This reduces flexibility in multimodal analgesia planning. 🔹 💉 ACB as a Smarter Option ◉ Literature supports that a true Adductor Canal Block (ACB) often results in popliteal spread, mimicking posterior coverage. ◉ Unlike PPB/IPACK, ACB can be performed postoperatively, alongside FTB → better adaptability. 🔹 🔐 DSB: Toward Complete Coverage ◉ Dual Subsartorial Block (DSB) addresses procedure-specific innervation comprehensively. ◉ A potential single-technique solution eliminating the need for redundant posterior add-ons. 🔹 🏆 Clinical Takeaway ◉ The article essentially compared two faces of the same block. ◉ Future research should move beyond redundancy → focus on FTB-centered strategies with ACB or DSB as practical, flexible, and procedure-specific alternatives. ◉ Research should focus on functional outcomes (rehab, ambulation, satisfaction) rather than comparing mirror-image blocks. ✨ PPB and IPACK are just two roads leading to the same city — different paths, same destination. ✨

KartikBSonawane's tweet photo. 📑 Rethinking Posterior Knee Blocks in TKA: Lessons from the PPB vs IPACK Trial 🎯📈

#RegionalAnesthesia #TKA #KneeSurgery #PostoperativePain
#PoplitealPlexusBlock #IPACK #FemoralTriangleBlock #AdductorCanalBlock #DualSubsartorialBlock #TipOfTheDay #MyRATips

Tip of the Day:

🔹 🎯 Same Target, Different Routes

◉ The article compared Popliteal Plexus Block (PPB) with IPACK in TKA.
◉ Anatomically, both infiltrate the popliteal plexus region, covering the same innervation.
◉ No surprise the study showed similar outcomes - both techniques are essentially overlapping.

🔹 📊 Redundancy in Study Design

◉ By combining both with Femoral Triangle Block (FTB), the trial diluted any real difference.
◉ The results largely reaffirm anatomy, rather than providing new clinical insight.

🔹 ⚡ Posterior Pain is Secondary

◉ As highlighted in many pain studies, posterior/intra-articular pain is less troublesome than extra-articular anterior pain.
◉ The FTB remains the major contributor to postoperative analgesia and functional recovery.

🔹 ⏱ Limitation: Preoperative Requirement

◉ Both PPB and IPACK must be performed before incision.
◉ This reduces flexibility in multimodal analgesia planning.

🔹 💉 ACB as a Smarter Option

◉ Literature supports that a true Adductor Canal Block (ACB) often results in popliteal spread, mimicking posterior coverage.
◉ Unlike PPB/IPACK, ACB can be performed postoperatively, alongside FTB → better adaptability.

🔹 🔐 DSB: Toward Complete Coverage

◉ Dual Subsartorial Block (DSB) addresses procedure-specific innervation comprehensively.
◉ A potential single-technique solution eliminating the need for redundant posterior add-ons.

🔹 🏆 Clinical Takeaway

◉ The article essentially compared two faces of the same block.

◉ Future research should move beyond redundancy → focus on FTB-centered strategies with ACB or DSB as practical, flexible, and procedure-specific alternatives.

◉ Research should focus on functional outcomes (rehab, ambulation, satisfaction) rather than comparing mirror-image blocks.

✨ PPB and IPACK are just two roads leading to the same city — different paths, same destination. ✨

Clara Lobo 🇵🇹🇺🇦🇪🇺🇦🇪 @claralexlobo

about 5 years ago

Happy to have these great minds together at the same session! #PENGblock #periclavicularblock #iPACK #Poplitealplexusblock #ESRA2021 @ESRA_Society

claralexlobo's tweet photo. Happy to have these great minds together at the same session!
#PENGblock #periclavicularblock #iPACK #Poplitealplexusblock
#ESRA2021 @ESRA_Society https://t.co/9RGzDQWljL

Mariapaz Sebastian @mariapsebastian

over 5 years ago

Motor Sparing Blocks for the Knee explained in a simple way.Many different options aiming to provide good analgesia and early mobilisation #FemoralTriangle #AdductorCanal #IPACK #PoplitealPlexusBlock #GenicularBlocks #regionalanaesthesia #locorregional https://t.co/iwtdCeSLmd

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