Subarachnoid Block in Prone Position for lower limb surgery

Area of Science:

• Anesthesiology
• Trauma Surgery
• Regional Anesthesia

Background:

• Subarachnoid block is a standard regional anesthesia technique.
• Typically administered in sitting or lateral positions.
• Patient positioning can be challenging in certain clinical scenarios, such as severe burns.

Purpose of the Study:

• To report the successful administration of subarachnoid block in the prone position.
• To evaluate the feasibility and safety of this technique in burn patients.
• To provide an alternative anesthetic approach for patients with positioning difficulties.

Main Methods:

• Two cases of severe flame burns involving the gluteal and thigh regions were analyzed.
• Subarachnoid block was administered with patients in the prone position.
• Patients underwent debridement and split-skin grafting procedures.

Main Results:

• Both patients tolerated the subarachnoid block in the prone position well.
• Hemodynamic stability was maintained throughout the procedures.
• Post-operative recovery was uneventful for both patients.

Conclusions:

• Subarachnoid block in the prone position is a safe and effective alternative for burn patients.
• This positioning can enhance patient comfort and facilitate surgical procedures.
• It offers a viable option when standard positions are contraindicated or difficult.