Martinez C R, Wulfsohn N L
Department of Anesthesia, Santa Rosa Hospital, San Antonio, Texas, USA.
Reg Anesth Pain Med. 1998 May-Jun;23(3):311-4. doi: 10.1016/s1098-7339(98)90060-8.
The sacral foraminal subarachnoid block is a method to access the subarachnoid space at the sacral level through the upper posterior sacral foramina.
This expanded case report describes the use of this technique in 40 patients, ranging in age from 34 to 100 years. In 38 patients, the sacral foraminal block was performed satisfactorily with adequate analgesia and without complications. In two patients, the technique was abandoned because of technical difficulties, and the block was done at the lumbar level. All the patients were monitored for up to 3 days after surgery with no complications noted. No postspinal headaches were observed.
A sacral foraminal subarachnoid block is performed at the distal end of the dural sac. This technique is proposed as an alternative for a difficult lumbar or lumbosacral subarachnoid block.
骶孔蛛网膜下腔阻滞是一种经骶骨后上孔进入骶段蛛网膜下腔的方法。
本扩展病例报告描述了该技术在40例年龄34至100岁患者中的应用。38例患者骶孔阻滞操作满意，镇痛充分且无并发症。2例患者因技术困难放弃该技术，改为在腰椎水平进行阻滞。所有患者术后监测长达3天，未发现并发症。未观察到脊麻后头痛。
骶孔蛛网膜下腔阻滞在硬脊膜囊远端进行。该技术被提议作为困难的腰段或腰骶段蛛网膜下腔阻滞的替代方法。
