Using the iPACK block to reduce chronic pain in a patient with knee osteoarthritis: A case report

Jiyoung Kim; Kusang Lee; Youngchan Kim; HyunHwa Lee; Hue Jung Park

doi:10.1016/j.jclinane.2021.110476

Using the iPACK block to reduce chronic pain in a patient with knee osteoarthritis: A case report

J Clin Anesth. 2021 Nov:74:110476. doi: 10.1016/j.jclinane.2021.110476. Epub 2021 Aug 5.

Authors

Jiyoung Kim¹, Kusang Lee¹, Youngchan Kim¹, HyunHwa Lee¹, Hue Jung Park²

Affiliations

¹ Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
² Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Electronic address: huejung@catholic.ac.kr.

PMID: 34364189
DOI: 10.1016/j.jclinane.2021.110476

Abstract

Infiltration between the popliteal artery and capsule of the knee (iPACK) block is an emerging modality to control perioperative knee joint pain. This case report describes the successful control of chronic knee joint pain using iPACK block in a patient with knee osteoarthritis. We suggest that iPACK block could be applied in the fields of both pain medicine and perioperative analgesia. In addition, by placing the needle closely to the popliteal plexus, iPACK block could serve as an intervention for pain related to procedures such as radiofrequency ablation.

Keywords: Knee osteoarthritis; Nerve block; Posterior knee pain; Ultrasound.

Publication types

Case Reports

MeSH terms

Analgesics
Chronic Pain* / etiology
Chronic Pain* / therapy
Humans
Knee Joint / surgery
Needles
Osteoarthritis, Knee* / complications
Osteoarthritis, Knee* / surgery

Substances

Analgesics