AB096. SOH24AB_036. Application of ultrasound-guided genicular nerve block for perioperative management of acute knee pain
Anaesthesia Session

AB096. SOH24AB_036. Application of ultrasound-guided genicular nerve block for perioperative management of acute knee pain

Burce Isik1, Marium Javed2, Dominic Harmon2

1School of Medicine, University of Limerick, Limerick, Ireland; 2Department of Anaesthesia, University Hospital Limerick, Limerick, Ireland

Background: Genicular nerve block is a successful regional anaesthesia technique in the management of acute and chronic knee pain secondary to arthritis and post-knee surgery. It is also being used for acute pain management in tibial plateau fractures. We report the novel use of genicular nerve block for tibial plateau fracture repair.

Methods: A 61-year-old patient presented with acute 9/10 left-sided knee pain secondary to a left tibial plateau fracture due to a mechanical fall. An ultrasound-guided genicular nerve block was administered perioperatively to the superior medial, superior lateral, and inferior medial genicular nerves. 1% lidocaine and 20 mL of 2.5% levobupivacaine were administered under ultrasound guidance.

Results: The patient reported a postoperative pain score of 0/10 at rest and while moving her leg for the next 24 hours.

Conclusions: Genicular nerve block is a safe and efficient technique for providing analgesia in tibial plateau fractures peri- and postoperatively. It is especially useful in reducing the need for opioid use in the elderly with comorbidities and in patients with contraindications. This technique also enables same-day discharge and early mobilization of patients.

Keywords: Genicular nerve block; knee pain; ultrasound; pain management; tibial plateau fracture

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab096
Cite this abstract as: Isik B, Javed M, Harmon D. AB096. SOH24AB_036. Application of ultrasound-guided genicular nerve block for perioperative management of acute knee pain. Mesentery Peritoneum 2024;8:AB096.

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