Diwan Sandeep, Dadke Madhuri, Gaikwad Avinash, Dongre Himaunshu, Bhong Ganesh P, Sancheti Parag K, Nair Abhijit
Anaesthesiology, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, IND.
Orthopaedics and Trauma, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, IND.
Cureus. 2022 Feb 28;14(2):e22701. doi: 10.7759/cureus.22701. eCollection 2022 Feb.
This case series describes the use of ultrasound (US)-guided dorsal sacral foraminal block (DSFB) for providing postoperative analgesia in six patients who underwent foot and ankle surgeries under spinal anesthesia. Postoperatively, all of them received a US-guided DSFB at the level of the brim of the second sacral foramina (SF2). Needle placements were confirmed with fluoroscopic (FL) images and injected radiocontrast defined the diffusion with a postoperative CT scan. The images obtained depicted ipsilateral spread in the sacral epidural space, sacral nerve roots, and plexus. The US-guided DSFB could be effectively used as an alternative method for postoperative pain relief after foot and ankle surgery.
本病例系列描述了在6例接受脊髓麻醉下足踝手术的患者中，使用超声（US）引导下骶背侧孔阻滞（DSFB）进行术后镇痛的情况。术后，所有患者均在第二骶孔（SF2）边缘水平接受了US引导下的DSFB。通过透视（FL）图像确认针的位置，并注入放射性造影剂，术后CT扫描确定其扩散情况。所获得的图像显示在骶硬膜外间隙、骶神经根和神经丛中有同侧扩散。US引导下的DSFB可有效用作足踝手术后缓解疼痛的替代方法。
