Study on evaluating the Adequacy of Psoas Compartment Block and Sacral Plexus Block for Lower Limb Surgeries
Pranjali Kuhrekar, Krishnakumar Sharanya, Krishnagopal Vinod, Raghuraman MS
Citation Information :
Kuhrekar P, Sharanya K, Vinod K, MS R. Study on evaluating the Adequacy of Psoas Compartment Block and Sacral Plexus Block for Lower Limb Surgeries. J Recent Adv Pain 2017; 3 (2):66-70.
To evaluate the adequacy of combined psoas and sacral plexus block (SPB) as a sole anesthetic agent, patients'/surgeons' satisfaction, perioperative urinary retention, and duration of postoperative analgesia for unilateral lower limb surgeries.
Materials and methods
A single-center prospective study was conducted between March and August 2016 on 101 patients undergoing elective unilateral lower limb surgeries under combined psoas and SPB belonging to American Society of Anesthesiologists physical status 1 and 2, aged between 18 and 60 years. Adequacy of block, patients'/surgeons' satisfaction, perioperative urinary retention, and duration of postoperative analgesia were noted.
Results
Among the 101 patients, 1 patient was excluded from the study. In 93 patients (93%), the block was adequate. Among the patients with adequate block, the surgeons' and patients' satisfaction was 95.7 and 96.8% respectively. Eight patients were catheterized preoperatively and rest of the 92 patients (100%) voided spontaneously without any intervention. The average time of first analgesic dose was 347.7 ± 103.7 min.
Conclusion
Combined psoas and SPB is a good and a safe alternative to neuraxial block in patients undergoing unilateral lower limb surgeries with good surgeon and patient satisfaction, lesser incidence of urinary retention, and prolonged postoperative pain relief.
How to cite this article
Vinod K, Kuhrekar P, Sharanya K, Raghuraman MS. Study on evaluating the Adequacy of Psoas Compartment Block and Sacral Plexus Block for Lower Limb Surgeries. J Recent Adv Pain 2017;3(2):66-70.
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