You are here

Article Text

Article menu
Download PDFPDF
Poster displayed – Ultrasound guided RA (UGRA)
P199 CLASP (combined lateral approach to sacral plexus).Bringing sacral plexus block back in vogue for acetabular fractures
  1. Shradha Surana1 and
  2. Pratiksha Rao2
  1. 1Anaesthesia and Critical Care, Narayana Health, Ahmedabad, India
  2. 2Anaesthesia and Critical Care, Apollo Hospital, Bangalore, Bangalore, India

Abstract

Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)

Background and Aims Acetabular fractures are complex injuries requiring surgical management. Adequate pain control during the surgery is crucial for patient comfort. The combined spinal-epidural (CSE) technique is commonly used for these procedures. However, there is a need for effective analgesia during positioning. This study aimed to evaluate the effectiveness of a combined approach using the lateral approach to sacral plexus and Suprainguinal fascia iliaca (SIFI) block in providing optimal analgesia for positioning during CSE in patients with acetabular fractures.

Methods A case study was conducted involving four patients aged between 20-65 years who underwent CSE technique. Prior to the procedure, the patients received SIFI and sacral plexus block. The lateral approach to the sacral plexus was performed using ultrasound guidance. A 20 ml injection of 0.2% ropivacaine was administered after confirming the location with a nerve stimulator. Pain scores and patient satisfaction were assessed during the procedure.

Results The combined technique using the lateral approach to the sacral plexus and SIFI block provided optimal pain relief and facilitated easy positioning for CSE in all three patients. The patients reported minimal discomfort during positioning and pain scores were significantly reduced from the baseline.

Conclusions The combined approach of the lateral approach to the sacral plexus and SIFI block offers a practical alternative for providing optimal analgesia in cases of acetabular fractures, by minimizing discomfort during positioning and ensuring effective post-operative analgesia This approach has the potential to improve patient satisfaction. Further studies with larger sample sizes are needed to validate these findings.

Abstract P199 Figure 1
Abstract P199 Figure 1

landmarks for lateral approach to sacral plexus. ASIS - anterior superior iliac spine GT- greater trochanter

Abstract P199 Figure 2
Abstract P199 Figure 2

probe position

Abstract P199 Figure 3
Abstract P199 Figure 3

sonoanatomy

  • acetabular fractures
  • sacral plexus
  • SIFI block

https://doi.org/10.1136/rapm-2024-ESRA.526

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.