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ULTRASOUND GUIDED ADDUCTOR CANAL BLOCK FOR BENIGN TUMOR RESECTION FROM KNEE OF 8 YEAR OLD PATIENT WITH KNOWN OPIOD ALLERGY
ESRA Academy. Yeniocak T. Sep 8, 2016; 138418; 0265 Topic: Peripheral Nerve Blocks
Dr. Tugce Yeniocak
Dr. Tugce Yeniocak

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Abstract
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Background and Aims:

The adductor canal block (ACB) involves injection of local anesthetic to the adductor canal and ensures post-operative analgesia after knee and lower leg surgeries. We performed  the ultrasound guided ACB for benign tumor resection from knee  of 8 year old child with known opiod allergy to prevent the adverse affects of  opiods and maintain  adequate postoperative analgesia.

Methods:

After induction of general anesthesia, patient received a single injection ACB with bupivacaine (0.2%) and lidocaine (2%) in addition 10 ml. After sterile preparation, the block was performed with  real time doppler ultrasonography  device  (Esaote MyLab™25) a high frequency lineer transducer  via   50mm needle. Transducer located  at the midthigh level, the area between the anterior superior iliac spine and the patella. Needle insterted in-plane technique with the transducer, tip of the needle located anterior to the superficial femoral artery, deep to the sartorius muscle between vastus medialis of the quadriceps and the adductor longus muscle . Local anesthetic was injected slowly with repeated aspiration to avoid intraarteriel injection.

Results:

 Any complications as  heamodynamic changes,adverse effects or quadriceps weakness  occured. Visiual  Analog Scale ( VAS ) 0, 6, 12 and 24 hours  were documented. In first 24 hours VAS : 0 and there was no medical consumption needed. 

Conclusions:

ACB thought to be effective and safe method for postoperative analgesia and have wide use even in pediatric patients. The complications of the systemic opioids and epidural analgesia decreased by peripheral nerve blocks. Further study is needed to determine more widespread application of this technique.

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