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Unilateral Sacral Erector Spinae Plane Block for Thigh Amputation: Case Report
Clístenes Crístian de Carvalho1, Artur P F de Melo2, Clarisse S G de Azevedo2
1From the Academic Unit of Medicine, Federal University of Campina Grande, Campina Grande, Brazil.
A&A Practice
|April 15, 2024
Summary
The sacral erector spinae plane block (ESPB) may not be sufficient for thigh amputations. Further research is needed before relying on this technique for lower limb surgeries.
Area of Science:
- Anesthesiology
- Surgical Procedures
Background:
- Anesthetic selection for thigh amputation is challenging due to patient comorbidities.
- The sacral erector spinae plane block (ESPB) is a novel technique with potential for major lower limb surgery.
- Evaluating the efficacy of ESPB as a primary anesthetic is crucial.
Observation:
- A case study of a 79-year-old patient undergoing thigh amputation is presented.
- The sacral ESPB was initially employed but found to be inadequate.
- Anesthesia was converted to spinal anesthesia due to the ESPB's insufficiency.
Findings:
- The sacral ESPB alone was insufficient to provide adequate anesthesia for thigh amputation in this case.
- Conversion to spinal anesthesia was necessary for successful surgical completion.
- This case highlights potential limitations of the sacral ESPB for this specific procedure.
Implications:
- Further investigation is required to determine the reliability of the sacral ESPB for lower limb amputations.
- Caution is advised when considering sole reliance on sacral ESPB for thigh amputation.
- Alternative anesthetic techniques should be considered until ESPB efficacy is better established.
