Sacral surgeries are a relatively rare type of spine surgery associated with a significant amount of perioperative pain. The paraspinal interfascial or erector spinae plane block is currently being practiced with promising results in cervical, thoracic, and lumbar spine surgeries. It provides not only effective analgesia but also helps in reducing perioperative opioid consumption. Sacral multifidus plane block is one such variant of paraspinal blocks, which may have an equianalgesic profile. This case report describes a novel application of this block for providing perioperative analgesia in sacral spine surgery.

No abstract

No abstract

Anesthetic management of patient with lymphedematous extremity undergoing orthopedic surgery is not well documented in the literature. Regional anesthesia may be the only viable option for upper limb orthopedic surgery in patients with multiple comorbid conditions. However, it may be technically challenging because of the altered nature of surrounding tissue. We report the perioperative challenges and management of an elderly female patient with multiple comorbidities scheduled for an emergency orthopedic surgery of the lymphedematous upper extremity.

No abstract