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Parasacral ischial plane block for lower limb surgeries: A case series

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Case Series

Author Details : Parth Pandya*, Sudha Shah, Yatin Bharad

Volume : 11, Issue : 3, Year : 2024

Article Page : 426-430

https://doi.org/10.18231/j.ijca.2024.077

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Abstract

Background: The para-sacral ischial plane block (PIP block) is a novel fascial plane approach targeting the sacral plexus. This technique simplifies the process as direct visualization of the sacral plexus or sciatic nerve is unnecessary.
Materials and Methods: This retrospective case series includes ten patients with American Society of Anesthesiologists (ASA) physical status II-IV, aged over 18 years, undergoing elective or emergency lower limb surgeries such as debridement and below-knee amputation between May 2023 and November 2023.
Results: The block was performed in ? 6 minutes for all patients. Onset of subjective analgesia was almost immediate in those presenting with pain. Sensory loss occurred within 9 to 12 minutes. Motor block in the sciatic nerve distribution did not reach Grade 2 in any patient. Hemodynamic stability was notably maintained in all high-risk cases. Intraoperative supplementation with ketamine was required for one patient.
Conclusion: The PIP block is a quick, easy-to-perform technique that offers satisfactory surgical conditions and hemodynamic stability in high-risk patients undergoing lower limb surgeries. It also provides prolonged postoperative analgesia and early resumption of oral intake with minimal procedural discomfort.
 

Keywords: PIP block, Sacral plexus, ultrasound, Sacrum, Fascial plane, Nerve block, Lower limb surgeries.

How to cite : Pandya P, Shah S, Bharad Y, Parasacral ischial plane block for lower limb surgeries: A case series. Indian J Clin Anaesth 2024;11(3):426-430

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