Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S1:E3 "I 'Kneed' To Know More (Nerve Blocks for Knee Surgery)"
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Jan 1, 2023 AI Snips
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Use Lidocaine Femoral For Smoother Emergence
- Do consider a low‑volume lidocaine femoral block for GA patients to smooth emergence and early PACU pain.
- Use small, short‑acting local to avoid prolonged quadriceps weakness while improving early comfort.
Adductor Canal Is The Minimum Block
- Do at minimum perform a mid‑thigh adductor canal (femoral triangle) block for TKA when time or experience is limited.
- Add other blocks as available to improve pain control.
Target Nerve To Vastus Medialis Carefully
- Targeting the nerve to vastus medialis at mid‑thigh reduces pain without significant quadriceps weakness.
- Anatomical and cadaver data suggest motor branches mostly depart proximally, so mid‑thigh targeting is motor‑sparing.