Vastus lateralis nerve block for knee hardware removal
Effective pain management post-knee surgery is critical for recovery and minimizing opioid use. We present a case of a patient undergoing ORIF for a comminuted patellar fracture and subsequent hardware removal because of persistent medial knee pain from hardware prominence. Despite initial opioid ad...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sja.sja_454_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087055959588864 |
|---|---|
| author | Jibran Ikram Aariya Srinivasan Cassandra L. Williams Nicholas Swerchowsky Sabry Ayad |
| author_facet | Jibran Ikram Aariya Srinivasan Cassandra L. Williams Nicholas Swerchowsky Sabry Ayad |
| author_sort | Jibran Ikram |
| collection | DOAJ |
| description | Effective pain management post-knee surgery is critical for recovery and minimizing opioid use. We present a case of a patient undergoing ORIF for a comminuted patellar fracture and subsequent hardware removal because of persistent medial knee pain from hardware prominence. Despite initial opioid administration under general anesthesia, severe postoperative pain necessitated rescue with peripheral nerve blocks. Adductor canal, anterior femoral cutaneous, and vastus lateralis blocks provided significant pain relief without additional opioids. This approach reduces systemic opioid exposure, crucial in the current opioid crisis. Peripheral nerve blocks, especially the vastus lateralis block, effectively managed severe postoperative pain, highlighting their role in opioid-sparing strategies. These findings advocate for the broader adoption of regional anesthesia to enhance perioperative outcomes amid opioid-related challenges while supporting early mobilization and rehabilitation. |
| format | Article |
| id | doaj-art-c6ef3b121e4e4bc6b6e034625df86754 |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-c6ef3b121e4e4bc6b6e034625df867542025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-0119111211410.4103/sja.sja_454_24Vastus lateralis nerve block for knee hardware removalJibran IkramAariya SrinivasanCassandra L. WilliamsNicholas SwerchowskySabry AyadEffective pain management post-knee surgery is critical for recovery and minimizing opioid use. We present a case of a patient undergoing ORIF for a comminuted patellar fracture and subsequent hardware removal because of persistent medial knee pain from hardware prominence. Despite initial opioid administration under general anesthesia, severe postoperative pain necessitated rescue with peripheral nerve blocks. Adductor canal, anterior femoral cutaneous, and vastus lateralis blocks provided significant pain relief without additional opioids. This approach reduces systemic opioid exposure, crucial in the current opioid crisis. Peripheral nerve blocks, especially the vastus lateralis block, effectively managed severe postoperative pain, highlighting their role in opioid-sparing strategies. These findings advocate for the broader adoption of regional anesthesia to enhance perioperative outcomes amid opioid-related challenges while supporting early mobilization and rehabilitation.https://journals.lww.com/10.4103/sja.sja_454_24opioid sparingpain managementperipheral nerve blocksvastus lateralis block |
| spellingShingle | Jibran Ikram Aariya Srinivasan Cassandra L. Williams Nicholas Swerchowsky Sabry Ayad Vastus lateralis nerve block for knee hardware removal Saudi Journal of Anaesthesia opioid sparing pain management peripheral nerve blocks vastus lateralis block |
| title | Vastus lateralis nerve block for knee hardware removal |
| title_full | Vastus lateralis nerve block for knee hardware removal |
| title_fullStr | Vastus lateralis nerve block for knee hardware removal |
| title_full_unstemmed | Vastus lateralis nerve block for knee hardware removal |
| title_short | Vastus lateralis nerve block for knee hardware removal |
| title_sort | vastus lateralis nerve block for knee hardware removal |
| topic | opioid sparing pain management peripheral nerve blocks vastus lateralis block |
| url | https://journals.lww.com/10.4103/sja.sja_454_24 |
| work_keys_str_mv | AT jibranikram vastuslateralisnerveblockforkneehardwareremoval AT aariyasrinivasan vastuslateralisnerveblockforkneehardwareremoval AT cassandralwilliams vastuslateralisnerveblockforkneehardwareremoval AT nicholasswerchowsky vastuslateralisnerveblockforkneehardwareremoval AT sabryayad vastuslateralisnerveblockforkneehardwareremoval |