The comparative study of two techniques of lumbar plexus block by anterior and posterior approach for lower limb surgery

Background: Lower extremity peripheral nerve blocks (PNBs) have been traditionally less employed compared to other forms of regional anesthesia. The advent of peripheral nerve stimulator and ultrasonography, complications associated with neuraxial anesthesia, and improved rehabilitation with PNBs has led to renewed interest in lower limb blocks. Lumbar plexus block can be given by anterior (Winnie's “3 in 1” block) and posterior (psoas compartment block) approaches. Subjects and Methods: In this randomized, observer-blinded study, we compared these techniques in two groups of patients (Group A [n = 30] and Group P [n = 30]) undergoing lower limb surgeries using nerve locator. They were supplemented with sciatic nerve block by Labat's approach. The primary objective was to compare the onset of sensory and motor blockade. Secondary objectives included the duration of sensory and motor blockade, sparing of nerves and complications if any. The onset of sensory analgesia was assessed by visual analog scale