A lateral approach to ultrasound‐guided sacral plexus block in the supine position

Wang, A.-Z.; Fan, Kun; Zhou, Quanhong; Wang, C.; Niu, Qiang; Chan, YH

doi:10.1111/anae.14368

Cited by 13 publications

(5 citation statements)

References 3 publications

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“…Due to the deep position of the sacral plexus, the block was generally performed under the guidance of the ultrasound and a nerve stimulator. The anatomical position of the sacral plexus was deeper in the supine position and the puncture was more di cult, requiring a longer time for the procedure compared with that of the conventional sacral plexus block in the lateral position, which was in agreement with previous studies [12]. Generally, such procedures need to be performed by experienced and skilled anesthetists in order to identify the bone landmarks, such as anterior superior spine.…”

Section: Comparison Of Nerve Block Results and Adverse Events Between...supporting

confidence: 83%

“…After the site was considered appropriate, the water separation technique was adopted by gradual injection of 30 ml 0.3% ropivacaine into the super cial and deep sites of the iliac muscle to expand the iliac fascia. For sacral plexus block in the supine position [12], the patients adopted the supine position with the affected side uplifted by 15°. A line from the anterior superior spine was made vertical to the midaxillary line and the intersection point was considered the positioning point (Fig.…”

Section: Treatment Of the S Groupmentioning

confidence: 99%

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Applicability and Effectiveness of Ultrasound Combined Nerve Stimulator-Guided Lumbosacral Plexus Block in Supine Versus Lateral Position During Surgeries for Lower Limb Fracture-A Prospective Randomized Controlled Trial

Song

Xia

et al. 2022

Preprint

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Background:To compare the applicability and effectiveness of ultrasound combined nerve stimulator-guided lumbosacral plexus block (LSPB) in supine versus lateral position during the lower limb fracture surgery. Methods:Patients who underwent elective internal fixation for lower limb fracture were divided into the S group and the L group by the random number table method and received LSPB guided by ultrasound combined nerve stimulator in supine and lateral positions, respectively. The primary outcome examined was the dose of sufentanil used in surgery and the secondary outcomes were the maximum VAS pain score at position placing for LSPB, the time of position placing, the time for nerve block and the number of puncture attempts.Results:The maximum pain score at position placing, the time of position placing for nerve block, the time for lumbar plexus block and the time of puncture attempts were significantly lower in the S group compared with those of the L group (all P<0.05). However, the time for sacral plexus block was higher in the S group compared with that of the L group (P<0.05). The heart rate and mean arterial pressure at different time points, times of puncture attempts for sacral plexus, dose of sufentanil used, VAS scores, the satisfactory postoperative degree to analgesia and adverse events of nerve block did not significantly differ between the two groups (all P>0.05). Conclusions:LSPB in the supine position is simple to apply and has definite anesthetic effects. Meanwhile, it has a high comfort level and therefore should be widely applied. The trial was registered prior to patient enrollment at the Chinese Clinical Trail Registry (Date:11/03/2021 Number: ChiCTR2100044117).

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Section: Comparison Of Nerve Block Results and Adverse Events Between...supporting

confidence: 83%

Section: Treatment Of the S Groupmentioning

confidence: 99%

Applicability and Effectiveness of Ultrasound Combined Nerve Stimulator-Guided Lumbosacral Plexus Block in Supine Versus Lateral Position During Surgeries for Lower Limb Fracture-A Prospective Randomized Controlled Trial

Song

Xia

et al. 2022

Preprint

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“…They used an anterior approach in contrast with our posterior approach. Wang and colleagues 20 described a lateral approach to ultrasound-guided sacral plexus block in the supine position but also this approach differs from the approach suggested in this article. They use a more proximal approach to the sacral plexus which may possibly carry an increased risk of nerve damage.…”

Section: Discussionmentioning

confidence: 92%

Deep posterior gluteal compartment block for regional anaesthesia of the posterior hip: a proof-of-concept pilot study

Vermeylen¹,

Aken²,

Versyck³

et al. 2023

BJA Open

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“…There are 2 approaches for the sacral plexus block currently: the posterior ultrasound guided sacral plexus block technique and lateral ultrasound guided sacral plexus block technique. [ 11 ] The former provides clearer visualization of the anatomical structures under ultrasound, while the latter is more suitable for patients who cannot lie on their side.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided suprainguinal fascia iliaca block combined with a sacral plexus block for lower extremity surgery

Zhao

Huang

et al. 2020

Medicine

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Rationale: The anesthetic management of patients with severe pulmonary hypertension is different from that of normal, healthy patients, and regional nerve blocks are commonly used for them. Due to the individual variability of the course, distribution, and branching of the nerves below the inguinal ligament, the supra-inguinal fascia iliaca (SIFI) block has a wider and more stable blocking area. In combination with the sacral plexus block, they can satisfy the needs of surgical anesthesia below the hip. Patient concerns: A 46-year-old man with tuberculosis, chronic obstructive pulmonary disease, pulmonary heart disease, World Health Organization (WHO) class III pulmonary hypertension and right heart dysfunction, and American Society of Anesthesiologists physical status class III needed fixation of an intramedullary nail in the left lower extremity. Additionally, he had broken his left lower limb after a recent fall. Both general anesthesia and epidural anesthesia were not appropriate. Diagnoses: The patient had a clear history of tuberculosis, computerized tomography scan displayed destructive pneumonophthisis. Furthermore, he had chronic obstructive pulmonary disease and pulmonary heart disease. Interventions: An ultrasound-guided SIFI combined with a sacral plexus block was successfully performed for surgical anesthesia and avoided all hemodynamic fluctuations. Outcomes: We successfully performed an ultrasound-guided SIFI combined with a sacral plexus block for surgical anesthesia and avoided all hemodynamic fluctuations. Lessons: Ultrasound-guided suprainguinal fascia iliaca block combined with a sacral plexus block can be suitable for anesthesia for patients with severe circulatory compromise.

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A lateral approach to ultrasound‐guided sacral plexus block in the supine position

Cited by 13 publications

References 3 publications

Applicability and Effectiveness of Ultrasound Combined Nerve Stimulator-Guided Lumbosacral Plexus Block in Supine Versus Lateral Position During Surgeries for Lower Limb Fracture-A Prospective Randomized Controlled Trial

Applicability and Effectiveness of Ultrasound Combined Nerve Stimulator-Guided Lumbosacral Plexus Block in Supine Versus Lateral Position During Surgeries for Lower Limb Fracture-A Prospective Randomized Controlled Trial

Deep posterior gluteal compartment block for regional anaesthesia of the posterior hip: a proof-of-concept pilot study

Ultrasound-guided suprainguinal fascia iliaca block combined with a sacral plexus block for lower extremity surgery

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