Nerves originate from lumbar plexus and located deep fascia iliaca in their intrapelvic course after emerging from substance of psoas
Femoral nerve blockade
Anesthesia of anterior thigh, medial leg, and foot
Anesthesia of iliac crest, anterior femoral neck, anterior femur, and distal femur
LFCN blockade
Sensory blockade of lateral thigh
Obturator nerve blockade
Motor blockade of adductor muscles with sensory blockade of medial thigh
Anesthesia to pubic ramus, medial femur, including medial epicondyle
Genitofemoral nerve
Motor blockade of cremasteric reflex
Sensory blockade to anterior medial thigh
FIB is compartment block relying on spread of local anesthetic
FIB can be performed by ultrasound-guided technique or blind "double-pop" technique
Local anesthetic can be injected below inguinal ligament or above inguinal ligament (suprainguinal)
Suprainguinal results in more reliable blockade of LFCN, obturator nerve, and genitofemoral nerve
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Problems
Complications
Selected References
O'Reilly N et al: Fascia iliaca compartment block. BJA Education, 19(6), 191-7, 2019
Yamamoto N et al: Comparison of the postoperative analgesic efficacies of intravenous acetaminophen and fascia iliaca compartment block inhip fracture surgery: a randomised controlled trial. Injury. 50(10):1689-93, 2019
Desmet M et al: A longitudinal supra-inguinal fascia iliaca compartment block reduces morphine consumption after total hip arthroplasty. Reg Anesth Pain Med. 42(3):327-33, 2017
Yang L et al: Fascia iliaca compartment block versus no block for pain control after lower limb surgery: a meta-analysis. J Pain Res. 10:2833-41, 2017
Bang S et al: Efficacy of ultrasound-guided fascia iliaca compartment block after hip hemiarthroplasty: a prospective, randomized trial. Medicine (Baltimore). 95(39):e5018, 2016
Nerves originate from lumbar plexus and located deep fascia iliaca in their intrapelvic course after emerging from substance of psoas
Femoral nerve blockade
Anesthesia of anterior thigh, medial leg, and foot
Anesthesia of iliac crest, anterior femoral neck, anterior femur, and distal femur
LFCN blockade
Sensory blockade of lateral thigh
Obturator nerve blockade
Motor blockade of adductor muscles with sensory blockade of medial thigh
Anesthesia to pubic ramus, medial femur, including medial epicondyle
Genitofemoral nerve
Motor blockade of cremasteric reflex
Sensory blockade to anterior medial thigh
FIB is compartment block relying on spread of local anesthetic
FIB can be performed by ultrasound-guided technique or blind "double-pop" technique
Local anesthetic can be injected below inguinal ligament or above inguinal ligament (suprainguinal)
Suprainguinal results in more reliable blockade of LFCN, obturator nerve, and genitofemoral nerve
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Problems
Complications
Selected References
O'Reilly N et al: Fascia iliaca compartment block. BJA Education, 19(6), 191-7, 2019
Yamamoto N et al: Comparison of the postoperative analgesic efficacies of intravenous acetaminophen and fascia iliaca compartment block inhip fracture surgery: a randomised controlled trial. Injury. 50(10):1689-93, 2019
Desmet M et al: A longitudinal supra-inguinal fascia iliaca compartment block reduces morphine consumption after total hip arthroplasty. Reg Anesth Pain Med. 42(3):327-33, 2017
Yang L et al: Fascia iliaca compartment block versus no block for pain control after lower limb surgery: a meta-analysis. J Pain Res. 10:2833-41, 2017
Bang S et al: Efficacy of ultrasound-guided fascia iliaca compartment block after hip hemiarthroplasty: a prospective, randomized trial. Medicine (Baltimore). 95(39):e5018, 2016
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