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Although sacral plexus blockade has been well described for lower limb surgery, an ultrasound\u2010guided continuous catheter technique for conservatively managed fractures has not been described. Despite appropriate oral analgesia, the patient reported severe pain, particularly in the right gluteal region, which meant she was unable to sit upright or take deep breaths. A sacral plexus catheter was inserted with ultrasound guidance and an initial bolus of 30\u00a0ml levobupivicaine 0.25% was delivered followed by infusion of 8\u00a0ml.h<jats:sup>\u22121<\/jats:sup> levobupivicaine 0.125%. Daily follow\u2010up and assessment were provided by the acute pain team. We judged the procedure to be a success as measured by an improvement in mobilisation, deep breathing, cough and patient satisfaction.<\/jats:p>","DOI":"10.1002\/anr3.12023","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:14:48Z","timestamp":1569888888000},"page":"76-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sacral plexus catheter analgesia in a patient with traumatic sacral fractures and Tarlov cysts"],"prefix":"10.1002","volume":"7","author":[{"given":"E.","family":"Ireland","sequence":"first","affiliation":[{"name":"Royal Victoria Infirmary Newcastle Upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Womack","sequence":"additional","affiliation":[{"name":"Royal Victoria Infirmary Newcastle Upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Foley","sequence":"additional","affiliation":[{"name":"Royal Victoria Infirmary Newcastle Upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu123"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu011"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpaic.2007.01.008"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opw025"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2018-000019"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer216"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14386"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14580"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-012-9880-8"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.05.004"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12023","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12023","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:44:25Z","timestamp":1759941865000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1002\/anr3.12023"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12023","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"2019-08-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}