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This video describes the anatomy, sonoanatomy, and technique for the Interspace between the Popliteal Artery and the Capsule of the Knee (iPACK).

His clinical interests include acute pain management, regional anesthesia, advance airway techniques, and cardiovascular anesthesia. Condition: Knee Arthropathy Postoperative Pain Intervention: Intervention Type: Procedure Intervention Name: adductor canal block Description: ACB was done in the immediate postoperative period under a high-frequency ultrasound guidance in which the adductor canal was identified beneath the sartorius muscle and 20 ml of 0.2 ropivacaine was injected in the canal using a 22-gauge 100-mm short. Regional Anesthesiology and Acute Pain Medicine. Other types of radiologic guidance remain bundled as indicated by other comments in CPT and in the NCCI bundling edits. Teames is an Officer in the United States Army Reserve Medical Corp. ACE feels that they neglected to specify that only ultrasound guidance, 76942, is allowed. Greg Hickman performs an ultrasound-guided iPACK block, injecting local anesthetic in the Interspace between the Popliteal Artery and the Capsule of the Knee to achieve posterior analgesia for ACL reconstruction. He is currently the Director of Regional Anesthesia at John Peter Smith hospital as well as the National Clinical Director of Regional Anesthesia for Envision Physician Services. In this new BLOCKJOCKS BLOCK OF THE DAY video Dr. and has exceptional regional skills and ultrasound technique in multiple nerve block modalities. He trained at the busiest trauma center in the U.S. Infiltration between the popliteal artery and the capsule of the knee (IPACK block) and sensory posterior articular nerves of the knee (SPANK block) are two. Richard Teames is a dedicated anesthesiologist with a unique background in nursing who excels in working with trauma and critical care patients. Director of Regional Anesthesia John Peter Smith Hospital, Fort Worth, TX | National Clinical Director of Regional Anesthesia Envision Physician Services | MAJ, 94th CSH, MC, USARĭr.