Three Different Anaesthetic Techniques in Unilateral Elective Hip Surgeries (Combined Lumbosacral Plexus Block, Spinal and Epidural): A Comparative Study

 In unilateral elective hip operations, to compare the efficacy of combined lumbosacral plexus block vs subarachnoid block and epidural in terms of motor and sensory blocking, surgeon and patient satisfaction, and time to first rescue analgesia.

The purpose of this study was to see how combined lumbosacral plexus block performed in contrast to epidural and subarachnoid blocks, as well as the procedure’s effectiveness, safety, and complications.

Materials and Methods: A single-center, randomised, single-blinded study including 60 patients undergoing elective unilateral hip operations, with 20 patients in each group, was undertaken between May 2017 and October 2018. (group I -combined lumbar and sacral plexus block, Group II – Epidural & Group III- Subarachnoid block). Patients with physical status 1 and 2 of the American Society of Anaesthesiologists, aged 18 to 60 years, were enrolled in the study and assigned to one of three groups at random. The adequacy of the block in terms of motor and sensory blocking, patient and surgeon satisfaction, and the time it took for the first analgesia were all taken into consideration.

The block was adequate in group III, compared to groups II and I, among 60 patients. In comparison to groups II (135.5 11.45) and III (141.0 17.44), group I had a considerably longer overall duration of analgesia (338.5 44.51). When compared to groups II and III, the total dosages of analgesic required in the first 24 hours were low in group I.

Conclusion: For patients undergoing unilateral hip operations, combined lumbosacral plexus block is a good and safe alternative to neuraxial block, with good patient and surgeon satisfaction and prolonged postoperative pain relief.

Author(s) Details:

T. Krishna Prasad,
Department of Anaesthesia, Shri Sathya Sai Medical College and Research Institute, (Sri Balaji Vidyapeeth, Deemed to be University), Kancheepuram, Tamil Nadu, India.

K. Soundarya Priyadharsini,
Department of Pharmacology, Shri Sathya Sai Medical College, Ammapettai, India.

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