Department of Anesthesiology, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, N.O. 1095 Jiefang Avenue, Wuhan, 430030, China.
J Anesth. 2020 Oct;34(5):777-780. doi: 10.1007/s00540-020-02811-w. Epub 2020 Jun 12.
It was widely recognized that the procedure of ultrasound-guided lumbar and sacral plexus block is required to be performed in a lateral decubitus position that patients' hips and knees were bended. It is difficult, however, for patients with hip fractures to change position because of severe pain and confined movements. We here reported a new modified combination of ultrasound-guided lumbosacral plexus block with anterior quadratus lumborum block in supine position that had been successfully applied in one elderly patient who underwent hip surgery.
人们普遍认为，超声引导下的腰骶丛阻滞需要在侧卧位下进行，此时患者的髋关节和膝关节弯曲。然而，对于髋部骨折的患者来说，由于剧烈的疼痛和活动受限，改变体位非常困难。我们在此报告了一种新的改良方法，即在仰卧位下进行超声引导的腰丛和前锯肌肌间沟阻滞联合阻滞，该方法已成功应用于 1 例接受髋关节手术的老年患者。
