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Parasacral ischial plane block: a new analgesic option for lower limb surgery

Wednesday, 08 February 2023
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A novel fascial plane approach to the sacral plexus is the parasacral ischial plane (PIP) block. It is a comparatively simple approach that doesn't call for sacral plexus visualisation. It is safe to use on individuals who have lost a limb since neuromuscular stimulation is less effective in such cases. For below-knee operations, a recently reported case series of diabetic wound debridement procedures performed under PIP block offered sufficient sensory analgesia. In this prospective case study, ten American Society of Anesthesiologists physical status II-IV patients, ages 18-70, who were scheduled for elective lower limb debridement procedures, were included.

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