A novel anterior approach for ultrasound-guided lumbar plexus combined with sacral plexus blocks with one-point puncture

Abstract

Editor—Traditional ultrasound-guided lumbar plexus block combined with sacral plexus block requires separate blocks at different sites, which increases the complexity of the manipulation and adds patient discomfort. 1 Sato M. Sasakawa T. Izumi Y. Onodera Y. Kunisawa T. Ultrasound-guided lumbar plexus block using three different techniques: a comparison of ultrasound image quality. J Anesth. 2018; 32: 694-701 Crossref PubMed Scopus (5) Google Scholar ,2 Bendtsen T.F. Lonnqvist P.A. Jepsen K.V. Petersen M. Knudsen L. Borglum J. Preliminary results of a new ultrasound-guided approach to block the sacral plexus: the parasacral parallel shift. Br J Anaesth. 2011; 107: 278-280 Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar Traditionally these techniques are always performed with the posterior approach, requiring the lateral decubitus or prone position, which may be suboptimal in patients with severe pain, spinal fractures, or risk of reinjury. To address these issues, we present a novel anterior approach for combined lumbar plexus and sacral plexus blocks with one-point puncture. A novel anterior approach for ultrasound-guided lumbar plexus combined with sacral plexus blocks with one-point puncture. Comment on Br J Anaesth 2022; 128: 297-299British Journal of AnaesthesiaVol. 129Issue 3PreviewEditor - Gong and colleagues describe a novel ultrasound-guided anterior approach for combined lumbar and sacral plexuses block with one-point puncture in supine position.1 However, we have a different opinion with respect to the proposed mechanism and site of injection. Full-Text PDF