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This video demonstrates how to perform an ultrasound-guided iPACK (infiltration between the popliteal artery and the knee capsule) block as an adjuvant technique for postoperative pain control in a pediatric patient presenting for anterior cruciate ligament repair.
There are no conflicts to disclose in this case.
1. Avila A, Triana J, buldo-licciardi M, et al. Poster 329: Adductor Canal Block versus Adductor Canal Block Plus IPACK Block for Post-Operative Analgesia Following ACL Reconstruction with Bone-Patellar Tendon-Bone Autograft: A Single-Blind, Randomized Controlled Study. Orthop J Sports Med. 2023;11(7 suppl3):2325967123S00297. Published 2023 Jul 31. doi:10.1177/2325967123S00297. PMCID: PMC10392505.
2. Sinha S. How I Do It: Infiltration Between Popliteal Artery and Capsule of Knee (iPACK). ASRA Pain Medicine. May 30, 2020. Accessed August 22, 2024. https://www.asra.com/news-publications/asra-newsletter/newsletter-item/asra-news/2020/05/03/how-i-do-it-infiltration-between-popliteal-artery-and-capsule-of-knee-(ipack).
3. Rodziewicz TL, Patel S, Garmon EH. Lower Extremity Blocks. In: StatPearls. Treasure Island (FL): StatPearls Publishing; October 18, 2023.
4. iPACK Block. In: Hadzic A. eds. Hadzic's Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia, 3e. McGraw-Hill; 2021. Accessed August 24, 2024.
https://accessanesthesiology.mhmedical.com/content.aspx?bookid=3074§ionid=256635574.
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