Nerve block: fascia iliaca compartment - Revision history

Danbot: Danbot moved page Nerve Block: Fascia Iliaca Compartment to Nerve block: fascia iliaca compartment without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:31:48Z

Danbot moved page Nerve Block: Fascia Iliaca Compartment to Nerve block: fascia iliaca compartment without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

← Older revision	Revision as of 05:31, 22 March 2026
(No difference)

Rossdonaldson1: /* Procedure */

2021-05-08T06:34:53Z

Procedure

← Older revision		Revision as of 06:34, 8 May 2021
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	==Procedure==		==Procedure==
			[[File:Femoral_Nerve_block_anatomy.png\|thumb\|Cartoon of pertinent anatomy in femoral nerve block]]
	*Perform thorough neurovascular exam prior to procedure		*Perform thorough neurovascular exam prior to procedure
	*Always calculate your anesthetic volume beforehand		*Always calculate your anesthetic volume beforehand

Elcatracho: /* External Links */

2021-02-10T14:55:05Z

External Links

← Older revision		Revision as of 14:55, 10 February 2021
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	==External Links==		==External Links==
	*[http://emergencymedicineireland.com/2014/05/anatomy-emergency-medicine-028-fascia-iliaca-block/ Anatomy for EM - Fascia Iliaca Block]		*[http://emergencymedicineireland.com/2014/05/anatomy-emergency-medicine-028-fascia-iliaca-block/ Anatomy for EM - Fascia Iliaca Block]
			*[https://www.youtube.com/watch?v=p6X0IiYolIk Video: Fascia Iliaca Block]

	==References==		==References==

ClaireLewis: /* References */

2019-10-09T16:43:04Z

References

← Older revision		Revision as of 16:43, 9 October 2019
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	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Orthopedics]]

Alvarez13: /* Procedure */

2019-05-01T21:47:17Z

Procedure

← Older revision		Revision as of 21:47, 1 May 2019
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	==Procedure==		==Procedure==
	*Perform thorough neurovascular exam prior to procedure		*Perform thorough neurovascular exam prior to procedure
			*Always calculate your anesthetic volume beforehand
			**Larger volumes of more dilute solution are better for plane blocks. 20 mL of 0.5% [[lidocaine]] is better than 10 mL of 1.0% [[lidocaine]].
	*This block requires more volume than the standard femoral nerve block		*This block requires more volume than the standard femoral nerve block

Zipdoc at 11:33, 3 January 2017

2017-01-03T11:33:36Z

← Older revision		Revision as of 11:33, 3 January 2017
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	[[Category:Procedures]]		[[Category:Procedures]]
	~~[[Category:Ultrasound]]~~

Zipdoc at 11:26, 3 January 2017

2017-01-03T11:26:11Z

← Older revision		Revision as of 11:26, 3 January 2017
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	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Ultrasound]]

Mholtz at 00:28, 25 December 2016

2016-12-25T00:28:52Z

← Older revision		Revision as of 00:28, 25 December 2016
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	==Equipment Needed==		==Equipment Needed==
	~~===Medications===~~		*Local anesthetic
	*Ropivacaine (Natropin) 0.5%		*Syringe with blunt fill needle and 27ga needle
	**<20kg = 0.75mL/kg		*Chloraprep
	**~~>20kg = 0.5 ML/kg~~
	**^max - 30mL
	OR
	*Bupivacaine 0.5%
	**studies in adults have used 25 mL of 0.5% bupivacaine or 30 mL of 0.25% bupivacaine
	**~~Modify based on toxic level by weight~~

	==Procedure==		==Procedure==
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	==See Also==		==See Also==
	*[[Nerve ~~Blocks~~ (~~Main~~)]]		*[[Nerve blocks (main)]]
	*[[Local ~~Anesthetic Systemic Toxicity (LAST)~~]]		*[[Local anesthetic systemic toxicity]]

	==External Links==		==External Links==
	[http://emergencymedicineireland.com/2014/05/anatomy-emergency-medicine-028-fascia-iliaca-block/ Anatomy for EM - Fascia Iliaca Block]		*[http://emergencymedicineireland.com/2014/05/anatomy-emergency-medicine-028-fascia-iliaca-block/ Anatomy for EM - Fascia Iliaca Block]

	==References==		==References==
	<References/>		<References/>
	*Wedel DJ, Horlocker TT. Miller's Anesthesia. 7th ed. pp. 1652-1655.
	*Haines L, Dickman E, Ayvazyan S, et al. Ultrasound-guided fascia iliaca compartment block for hip fractures in the emergency department. J Emerg Med. 2012;43(4):692–7.
	*Beaudoin FL, Nagdev A, Merchant RC, Becker BM. Ultrasound-guided femoral nerve blocks in elderly patients with hip fractures. Am J Emerg Med. 2010;28(1):76–81.
	*Beaudoin FL, Haran JP, Liebmann O. A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial. Acad Emerg Med. 2013;20(6):584–91.

	[[Category:Procedures]]		[[Category:Procedures]]

Neil.m.young: Text replacement - "# " to "#"

2016-07-06T02:00:31Z

Text replacement - "# " to "#"

← Older revision		Revision as of 02:00, 6 July 2016
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	===Landmark technique===		===Landmark technique===
	# Point = 2/3 laterally along line between ant/sup iliac spine and pubis		#Point = 2/3 laterally along line between ant/sup iliac spine and pubis
	##i.e. sig lateral to nerve		##i.e. sig lateral to nerve
	# 90 deg angle with 22Ga needle (spinal needle)		#90 deg angle with 22Ga needle (spinal needle)
	# 2 "pops" through fascial planes (1 inch max)		#2 "pops" through fascial planes (1 inch max)
	# Withdraw to check not in vessel		#Withdraw to check not in vessel
	# Apply pressure 1 inch caudally accross thigh		#Apply pressure 1 inch caudally accross thigh
	# Infuse drug		#Infuse drug
	# Hold pressure on thigh for 2 minutes		#Hold pressure on thigh for 2 minutes
	##to encourage cephalad spread		##to encourage cephalad spread

Mholtz at 11:09, 9 August 2015

2015-08-09T11:09:40Z

← Older revision		Revision as of 11:09, 9 August 2015
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	==Contraindications==		==Contraindications==
			*Infection overlying injection site
	*Presence of femoral vascular grafts (relative)		*Presence of femoral vascular grafts (relative)

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	==Complications==		==Complications==
			*Bleeding/hematoma
			*Infection
	*Intravascular injection		*Intravascular injection
	**Risk of cardiac depression if injected intravascularly
	**Ultrasound guidance mitigates this risk
	*Hematoma
	*Use fall precautions for patient
	*Case reports exist nerve blocks obscure detection of compartment syndrome. This has not held up in studies.

	==See Also==		==See Also==