Combined adductor canal (ACB) and sacral erector spinae plane (S-ESP) blocks for total knee arthroplasty pain in hemophilic arthropathy

Autor: Francesco Marrone, Pierfrancesco Fusco, Saverio Paventi, Carmine Pullano
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Saudi Journal of Anaesthesia, Vol 18, Iss 4, Pp 565-568 (2024)
Druh dokumentu: article
ISSN: 1658-354X
0975-3125
DOI: 10.4103/sja.sja_177_24
Popis: We present the case of a successful application of combined adductor canal block (ACB) and sacral erector spinae plane (S-ESP) block for the management of a patient suffering from severe hemophilia A with an end-stage arthropathy who underwent total knee replacement. The implementation of a tailored protocol, not incorporating neuraxial techniques, such as spinal anesthesia, facilitated optimal intra- and postoperative pain management and expedited postoperative recovery and rehab without motor weakness and side effects, highlighting the potential benefit of such strategy in selected cases.
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