Sacral erector spinae plane block for analgesia after hip surgery

Year 2021, , 648 - 650, 01.06.2021

Ayşegül Bilge , Şule Arıcan

https://doi.org/10.28982/josam.795843

Cited By: 1

Abstract

Erector spinae plane block (ESPB) is an interfascial plane block used for providing analgesia in acute or chronic perioperative/postoperative pain for various indications. The case reports presented here describe the use of sacral ESPB for postoperative pain control in two patients who were operated on for a femur fracture. One underwent spinal anesthesia and the other underwent general anesthesia. The sacral ESPB technique has been described and the pain scores and the analgesia requirements of the patients during postoperative 48 hours have been reported. We observed that sacral ESPB is an effective method for postoperative analgesia in patients undergoing surgery for the treatment of a femoral fracture through a posterolateral approach.

Keywords

Erector spinae block, Hip surgery, Ultrasonography

References

• 1. Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41(5):621–7.
• 2. Cassai A, Bonvicini D, Correale C, Sandei L, Tulgar S, Tonetti T. Erector spinae plane block: a systematic qualitative review. Minerva Anestesiol. 2019;85(3):308–19.
• 3. Tulgar S, Senturk O, Thomas DT, Deveci U, Ozer Z. A new technique for sensory blockage of posterior branches of sacral nerves: ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019;57:129–30.
• 4. Piraccini E, Antioco M, Maitan S. Ultrasound guided sacral erector spinae plane block: a useful tool for radicular pain treatment. J Clin Anesth. 2019;59:11–2.
• 5. Kukreja P, Deichmann P, Selph JP, Hebbard J, Kalagara H. Sacral Erector Spinae Plane Block for Gender Reassignment Surgery. Cureus. 2020;12(4):e7665.
• 6. Kilicaslan, A, Uyel Y. Novel lumbosacral approach for erector spinae plane block (LS-ESPB) in hip surgery. Journal of Clinical Anesthesia. 2020;60:83–84.
• 7. Aksu C, Gürkan Y. Sacral erector spinae plane block with longitudinal midline approach: Could it be the new era for pediatric postoperative analgesia? J Clin Anesth. 2020:59:38-9.
• 8. Birnbaum K, Prescher A, Hessler S, Heller KD. The sensory innervation of the hip joint an anatomical study. Surg Radiol Anat. 1997; 19(6):371-5.
• 9. Kalagara HK, Deichmann P, Brooks B, Nagi P, Kukreja P. T1 erector spinae plane block catheter as a novel treatment modality for pancoast tumor pain. Cureus. 2019;11(11):e6092.
• 10. Hamilton DL. The erector spinae plane block: Time for clarity over anatomical nomenclature. J Clin Anesth. 2020;62:109699.
• 11. Piraccini E, Taddei S. Sacral multifidus plane block: The correct name for sacral erector spinae plane block. J Clin Anesth. 2020;63:109754.