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KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Abbreviations
- Anterior superior iliac spine (ASIS)
- Anterior inferior iliac spine (AIIS)
- Fascia Iliaca compartment block (FICB)
- Suprainguinal fascia iliaca block (SIFIB)
Synonyms
- Fascia iliaca block (FIB)
Definitions
- FICB targets femoral nerve, obturator never, lateral femoral cutaneous nerve (LFCN), and, less commonly, genitofemoral nerve
- 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
- Femoral nerve blockade
- Nerves originate from lumbar plexus and located deep fascia iliaca in their intrapelvic course after emerging from substance of psoas
- 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
- FICB targets femoral nerve, obturator never, lateral femoral cutaneous nerve (LFCN), and, less commonly, 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
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Abbreviations
- Anterior superior iliac spine (ASIS)
- Anterior inferior iliac spine (AIIS)
- Fascia Iliaca compartment block (FICB)
- Suprainguinal fascia iliaca block (SIFIB)
Synonyms
- Fascia iliaca block (FIB)
Definitions
- FICB targets femoral nerve, obturator never, lateral femoral cutaneous nerve (LFCN), and, less commonly, genitofemoral nerve
- 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
- Femoral nerve blockade
- Nerves originate from lumbar plexus and located deep fascia iliaca in their intrapelvic course after emerging from substance of psoas
- 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
- FICB targets femoral nerve, obturator never, lateral femoral cutaneous nerve (LFCN), and, less commonly, 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
