{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T16:36:22Z","timestamp":1779986182818,"version":"3.53.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:00:00Z","timestamp":1704240000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The provision of anaesthesia for hip fracture surgery in elderly and frail patients can be challenging, with potentially significant risks associated with both general and neuraxial techniques. Here, we report the use of a sacral erector spinae plane block as an alternative to conventional anaesthetic approaches for a frail 89\u2010year\u2010old woman with significant cardiovascular and respiratory comorbidity who underwent intramedullary nailing for a proximal femoral fracture. A unilateral injection of local anaesthetic at the intermediate crest of the second sacral vertebra resulted in bilateral sensory block of the T12 to S2 dermatomes. The technique did not result in hypotension or motor block of the limbs, and the surgery was completed uneventfully. Sacral erector spinae plane block warrants further investigation as an alternative to spinal and general anaesthesia for hip and lower limb surgery.<\/jats:p>","DOI":"10.1002\/anr3.12269","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T22:45:37Z","timestamp":1704321937000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Unilateral sacral erector spinae plane block for hip fracture surgery"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0840-9180","authenticated-orcid":false,"given":"F.","family":"Marrone","sequence":"first","affiliation":[{"name":"Unit of Anaesthesia and Intensive Care Santo Spirito Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Paventi","sequence":"additional","affiliation":[{"name":"Unit of Anaesthesia and Intensive Care Santo Spirito Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tomei","sequence":"additional","affiliation":[{"name":"Unit of Anaesthesia and Intensive Care Santo Spirito Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Failli","sequence":"additional","affiliation":[{"name":"Unit of Anaesthesia and Intensive Care Santo Spirito Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Crecco","sequence":"additional","affiliation":[{"name":"Unit of Anaesthesia and Intensive Care Santo Spirito Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Pullano","sequence":"additional","affiliation":[{"name":"Unit of Anaesthesia Villa Pia Clinic  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00132"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2021-103228"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2020-102315"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab061"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2019.04.014"},{"key":"e_1_2_5_7_1","article-title":"Sacral erector spinae plane block provides surgical anesthesia in ambulatory anorectal surgery: two case reports","volume":"13","author":"Kaya C","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_5_8_1","article-title":"Sacral erector spinae plane block for gender reassignment surgery","volume":"12","author":"Kukreja P","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_5_9_1","first-page":"65","article-title":"Bilevel\u2010bilateral sacral erector spinae plane block for chronic pain management: a case report and short literature review","volume":"36","author":"Kili\u00e7aslan A","year":"2020","journal-title":"Selcuk Medical Journal"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.28982\/josam.795843"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/anr3.12199"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2020.109699"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2020.109754"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2019.06.007"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122-022-00453-2"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2022-103760"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T18:48:16Z","timestamp":1759949296000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/anr3.12269"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12269","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-12-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12269"}}