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Related Experiment Videos

Sacral foraminal subarachnoid block: an expanded case report

C R Martinez1, N L Wulfsohn

  • 1Department of Anesthesia, Santa Rosa Hospital, San Antonio, Texas, USA.

Regional Anesthesia and Pain Medicine
|June 5, 1998
PubMed
Summary
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The sacral foraminal subarachnoid block offers a safe and effective alternative for subarachnoid access, demonstrating high success rates and no complications in a recent case report.

Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Regional Anesthesia

Background:

  • The sacral foraminal subarachnoid block provides a novel approach to accessing the subarachnoid space via the sacral foramina.
  • This technique targets the distal end of the dural sac.

Purpose of the Study:

  • To evaluate the efficacy and safety of the sacral foraminal subarachnoid block.
  • To present this technique as a potential alternative for challenging lumbar or lumbosacral blocks.

Main Methods:

  • An expanded case report detailing the application of the sacral foraminal subarachnoid block in 40 patients.
  • Patient monitoring for up to 3 days post-procedure.

Main Results:

  • Successful sacral foraminal block with adequate analgesia and no complications in 38 out of 40 patients.

Related Experiment Videos

  • Two cases required conversion to lumbar-level blocks due to technical difficulties.
  • No post-procedural complications or post-spinal headaches were reported.
  • Conclusions:

    • The sacral foraminal subarachnoid block is a viable and safe alternative for subarachnoid access.
    • This technique can be particularly useful when lumbar or lumbosacral blocks are technically challenging.