{"id":169135,"date":"2023-04-25T15:12:08","date_gmt":"2023-04-25T22:12:08","guid":{"rendered":"https:\/\/clarius.com\/blog\/aprende-bloqueos-probados-guiados-por-ecografia-para-la-cirugia-de-rodilla-bloqueo-ipack\/"},"modified":"2026-03-13T20:19:04","modified_gmt":"2026-03-14T03:19:04","slug":"aprende-bloqueos-probados-guiados-por-ecografia-para-la-cirugia-de-rodilla-bloqueo-ipack","status":"publish","type":"post","link":"https:\/\/clarius.com\/es\/blog\/aprende-bloqueos-probados-guiados-por-ecografia-para-la-cirugia-de-rodilla-bloqueo-ipack\/","title":{"rendered":"Aprende Bloqueos probados guiados por ecograf\u00eda para la cirug\u00eda de rodilla &#8211; Bloqueo IPACK"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">En las cirug\u00edas de reemplazo total de rodilla y LCA, el objetivo del bloqueo IPACK (Infiltraci\u00f3n entre la arteria popl\u00edtea y el compartimento de la rodilla) es bloquear las ramas terminales de los nervios obturador y tibial en el espacio posterior de la rodilla, preservando los troncos principales de los nervios tibial y peroneo com\u00fan, manteniendo as\u00ed la funci\u00f3n sensomotora de la pierna y el pie (disminuyendo la ca\u00edda del pie).  <\/p>\n\n<p class=\"wp-block-paragraph\">En un <a href=\"https:\/\/clarius.com\/es\/webinar\/bloqueos-del-plexo-braquial-guiados-por-ecografia-tecnicas-del-experto\/\" target=\"_blank\" rel=\"noreferrer noopener\">seminario web<\/a> reciente, el Dr. Greg Hickman, Director M\u00e9dico y Director de Anestesia del Centro de Cirug\u00eda Ambulatoria del Instituto Andrews de Florida, comparti\u00f3 sus t\u00e9cnicas de bloqueo nervioso guiadas por ecograf\u00eda para lograr bloqueos regionales m\u00e1s eficaces en pacientes sometidos a cirug\u00eda de rodilla. Sigue leyendo para conocer los aspectos m\u00e1s destacados del bloqueo IPACK.   <\/p>\n\n<p class=\"wp-block-paragraph\">El Dr. Hickman ha perfeccionado sus t\u00e9cnicas de bloqueo durante los \u00faltimos 30 a\u00f1os y disfruta compartiendo lo que ha aprendido en seminarios web como \u00e9ste y a trav\u00e9s de su popular sitio web educativo sobre anestesia regional guiada <a href=\"https:\/\/www.blockjocks.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Blockjocks.com<\/a>. Cree que los ultrasonidos mejoran la velocidad de los procedimientos de bloqueo y tambi\u00e9n su duraci\u00f3n, ya que llega m\u00e1s medicaci\u00f3n al nervio diana.   <\/p>\n\n<h2 class=\"wp-block-heading\"><strong>C\u00f3mo realizar un bloqueo IPACK guiado por ecograf\u00eda<\/strong> <\/h2>\n\n<p class=\"wp-block-paragraph\">El Dr. Hickman<strong> <\/strong>prefiere un abordaje lateral para esta inyecci\u00f3n, con el paciente en dec\u00fabito supino y la pierna lo bastante elevada para poder colocar el ec\u00f3grafo detr\u00e1s de la rodilla.  <\/p>\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Es f\u00e1cil visualizar el lugar donde se encuentran la arteria popl\u00edtea y los c\u00f3ndilos femorales a este nivel, as\u00ed que desde aqu\u00ed, un ligero movimiento del esc\u00e1ner hacia proximal identificar\u00e1 la zona objetivo de la inyecci\u00f3n.\u00bb  <\/p>\n<\/blockquote>\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"653\" data-src=\"https:\/\/clarius.com\/wp-content\/uploads\/2023\/03\/image-8-1024x653.jpg\" alt=\"\" class=\"wp-image-87832 lazyload\" data-srcset=\"https:\/\/clarius.com\/wp-content\/uploads\/2023\/03\/image-8-1024x653.jpg 1024w, https:\/\/clarius.com\/wp-content\/uploads\/2023\/03\/image-8-300x191.jpg 300w, https:\/\/clarius.com\/wp-content\/uploads\/2023\/03\/image-8-600x383.jpg 600w, https:\/\/clarius.com\/wp-content\/uploads\/2023\/03\/image-8.jpg 1226w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/653;\" \/><\/figure>\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Una de las mayores ventajas de la t\u00e9cnica de abordaje lateral es la excelente visualizaci\u00f3n de la aguja. Esto se debe a que la aguja permanece en plano y paralela al ec\u00f3grafo lineal, lo que es \u00f3ptimo para las inyecciones guiadas por ecograf\u00eda.\u00bb  <\/p>\n<\/blockquote>\n\n<p class=\"wp-block-paragraph\">Mira este<a href=\"https:\/\/clarius.com\/es\/classroom\/bloque-acl-no-1-ipack\/\" target=\"_blank\" rel=\"noreferrer noopener\"> v\u00eddeo de<\/a> demostraci\u00f3n del bloqueo IPACK en la paciente del Dr. Hickman.  <\/p>\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ACL Block #1 - iPACK\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/h0YLKqkUtpE?feature=oembed&#038;modestbranding=1&#038;showinfo=0&#038;rel=0&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<p class=\"wp-block-paragraph\">La combinaci\u00f3n del cat\u00e9ter continuo del canal aductor con el bloqueo IPACK mostr\u00f3 una analgesia equivalente en comparaci\u00f3n con el bloqueo del nervio femoral, un menor consumo de opi\u00e1ceos, un mejor rendimiento de la fisioterapia y un alta hospitalaria m\u00e1s temprana.  <\/p>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29026354\/\" target=\"_blank\" rel=\"noreferrer noopener\">Las nuevas t\u00e9cnicas regionales para la artroplastia total de rodilla reducen la estancia hospitalaria<\/a> <\/p>\n\n<p class=\"wp-block-paragraph\">  Thobhani S, Scalercio L, Elliott CE, Nossaman BD, Thomas LC, Yuratich D, Bland K, Osteen K, Patterson ME. Las nuevas t\u00e9cnicas regionales para la artroplastia total de rodilla reducen la estancia hospitalaria: Un an\u00e1lisis de 106 pacientes. Ochsner J. 2017 Oto\u00f1o;17(3):233-238. PMID: 29026354; PMCID: PMC5625980).  <\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Ultrasonidos Clarius para Anestesia Regional<\/strong> <\/h2>\n\n<p class=\"wp-block-paragraph\">El Dr. Hickman utiliza el<a href=\"https:\/\/clarius.com\/es\/scanners\/l15\/\">Clarius L15 HD3<\/a>, que proporciona im\u00e1genes MSK y nerviosas detalladas de hasta 7 cm para procedimientos de anestesia regional. <\/p>\n\n<p class=\"wp-block-paragraph\">Inal\u00e1mbrico, ultram\u00f3vil y con im\u00e1genes de alta definici\u00f3n,<a href=\"https:\/\/clarius.com\/es\/specialties\/anesthesia\/\">Clarius es el ec\u00f3grafo port\u00e1til ideal para los anestesistas<\/a>que se desplazan de un paciente a otro para realizar bloqueos regionales y visitas postoperatorias. Los ec\u00f3grafos Clarius HD3 ofrecen las im\u00e1genes n\u00edtidas y la potencia que esperas de un sistema tradicional por una fracci\u00f3n de su coste. <\/p>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/clarius.com\/es\/contact\/\">Ponte en contacto con nosotros<\/a>hoy mismo para programar una<a href=\"https:\/\/clarius.com\/demo\">demostraci\u00f3n<\/a>virtual y hablar sobre qu\u00e9 esc\u00e1ner es el adecuado para tu consulta de anestesiolog\u00eda.  <\/p>\n","protected":false},"excerpt":{"rendered":"<p>En las cirug\u00edas de reemplazo total de rodilla y LCA, el objetivo del bloqueo IPACK (Infiltraci\u00f3n entre la arteria popl\u00edtea y el compartimento de la rodilla) es bloquear las ramas terminales de los nervios obturador y tibial en el espacio posterior de la rodilla, preservando los troncos principales de los nervios tibial y peroneo com\u00fan,&#8230;<\/p>\n","protected":false},"author":10,"featured_media":87839,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[1015,937,992,1041,1046],"tags":[],"specialities":[57,51,69],"class_list":["post-169135","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-classroom","category-educacion","category-perspectivas","category-video","category-webinar","specialities-anesthesiology","specialities-pain-management","specialities-regional-anesthesia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.6) - 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