Nerve block: femoral - Revision history

Danbot: Danbot moved page Nerve Block: Femoral to Nerve block: femoral without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:31:50Z

Danbot moved page Nerve Block: Femoral to Nerve block: femoral 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 at 20:45, 26 February 2025

2025-02-26T20:45:27Z

← Older revision		Revision as of 20:45, 26 February 2025
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	==Background==		==Background==
			[[File:Sobo 1909 573-574.png\|thumb\|Anterior thigh anatomy (right) showing vein medial to artery and nerve.]]
	[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three structures. (Femoral nerve visible in yellow.)]]		[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three structures. (Femoral nerve visible in yellow.)]]
	[[File:Gray344.png\|thumb\|Cross section of the right hip at the level of the acetabulum.]]		[[File:Gray344.png\|thumb\|Cross section of the right hip at the level of the acetabulum.]]

Rossdonaldson1 at 20:44, 26 February 2025

2025-02-26T20:44:08Z

← Older revision		Revision as of 20:44, 26 February 2025
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	==Background==		==Background==
	[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three structures. (Femoral nerve visible in yellow.)]]		[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three structures. (Femoral nerve visible in yellow.)]]
			[[File:Gray344.png\|thumb\|Cross section of the right hip at the level of the acetabulum.]]
	*Found to be effective method of regional pain control in ED<ref>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.</ref>		*Found to be effective method of regional pain control in ED<ref>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.</ref>
	*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>		*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>

Rossdonaldson1: /* Background */

2021-06-17T21:13:10Z

Background

← Older revision		Revision as of 21:13, 17 June 2021
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	==Background==		==Background==
	[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three ~~compartments~~. (Femoral nerve visible in yellow.)]]		[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three structures. (Femoral nerve visible in yellow.)]]
	*Found to be effective method of regional pain control in ED<ref>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.</ref>		*Found to be effective method of regional pain control in ED<ref>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.</ref>
	*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>		*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>

Rossdonaldson1 at 21:10, 17 June 2021

2021-06-17T21:10:39Z

← Older revision		Revision as of 21:10, 17 June 2021
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	==Background==		==Background==
	[[File:Gray545.png\|thumb\|~~Femoral~~ sheath laid open to show its three compartments. (Femoral nerve visible in yellow.)]]		[[File:Gray545.png\|thumb\|Right anterior femoral sheath laid open to show its three compartments. (Femoral nerve visible in yellow.)]]
	*Found to be effective method of regional pain control in ED<ref>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.</ref>		*Found to be effective method of regional pain control in ED<ref>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.</ref>
	*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>		*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>

Rossdonaldson1: /* Background */

2021-06-17T20:27:18Z

Background

← Older revision		Revision as of 20:27, 17 June 2021
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	==Background==		==Background==
			[[File:Gray545.png\|thumb\|Femoral sheath laid open to show its three compartments. (Femoral nerve visible in yellow.)]]
	*Found to be effective method of regional pain control in ED<ref>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.</ref>		*Found to be effective method of regional pain control in ED<ref>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.</ref>
	*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>		*Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)<ref>Karagiannis G, Hardern R. Best evidence topic report: No evidence found that a femoral nerve block in cases of femoral shaft fractures can delay the diagnosis of compartment syndrome of the thigh. EMJ 2005;22(11):814.</ref>

Rossdonaldson1: /* Fascia Iliaca Block */

2021-05-08T06:35:55Z

Fascia Iliaca Block

← Older revision		Revision as of 06:35, 8 May 2021
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	#Inject 20cc of 0.5% [[bupivicaine]] or another local anesthetic along nerve sheath.		#Inject 20cc of 0.5% [[bupivicaine]] or another local anesthetic along nerve sheath.

	===Fascia Iliaca Block===		===[[Fascia Iliaca Block]]===
	*technique is similar to the femoral nerve block, except the needle enters through the fascia iliaca at a more lateral site relative to the femoral nerve block to avoid hitting the femoral nerve, artery, or vein		*technique is similar to the femoral nerve block, except the needle enters through the fascia iliaca at a more lateral site relative to the femoral nerve block to avoid hitting the femoral nerve, artery, or vein
	**this extends the block to include the lateral femoral cutaneous nerve, providing anesthesia to the lateral proximal thigh.		**this extends the block to include the lateral femoral cutaneous nerve, providing anesthesia to the lateral proximal thigh.

Rossdonaldson1: /* 3-in-1-Block */

2021-05-08T06:35:19Z

3-in-1-Block

← Older revision		Revision as of 06:35, 8 May 2021
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	===3-in-1-Block===		===3-in-1-Block===
	**This block incorporates:		*This block incorporates:
	***Femoral nerve		**Femoral nerve
	***Lateral femoral cutaneous nerve		**Lateral femoral cutaneous nerve
	***Obturator nerve		**Obturator nerve
	**Allows for greater anestehsia of the hip and knee.		*Allows for greater anestehsia of the hip and knee.
	**Technique is identical to Fascia iliaca block, but includes application of pressure 4cm distal to injection site.		*Technique is identical to Fascia iliaca block, but includes application of pressure 4cm distal to injection site.
	***this aids in the proximal spread of anesthetic.		**this aids in the proximal spread of anesthetic.
	**technique is not very reliable.		*technique is not very reliable.

	==Complications==		==Complications==

ClaireLewis: /* References */

2019-10-09T16:43:27Z

References

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

Rossdonaldson1: /* ProcedureBeaudoin 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 Eme...

2017-12-08T12:37:23Z

/* ProcedureBeaudoin 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 Eme...

← Older revision		Revision as of 12:37, 8 December 2017
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	==Procedure<ref>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 Jun;20(6):584-91.</ref>==		==Procedure<ref>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 Jun;20(6):584-91.</ref>==

	[[File:Femoral_Nerve_block_anatomy.png\|thumb\|Cartoon of pertinent anatomy in femoral nerve block]]		[[File:Femoral_Nerve_block_anatomy.png\|thumb\|Cartoon of pertinent anatomy in femoral nerve block]]
			===Femoral Nerve Block===
	~~'''~~Femoral Nerve Block~~'''~~
	#Place patient supine		#Place patient supine
	#Cleanse skin with chlorhexidine or betadine and drape		#Cleanse skin with chlorhexidine or betadine and drape
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	#Inject 20cc of 0.5% [[bupivicaine]] or another local anesthetic along nerve sheath.		#Inject 20cc of 0.5% [[bupivicaine]] or another local anesthetic along nerve sheath.

	~~'''~~Fascia Iliaca Block~~'''~~		===Fascia Iliaca Block===
	*technique is similar to the femoral nerve block, except the needle enters through the fascia iliaca at a more lateral site relative to the femoral nerve block to avoid hitting the femoral nerve, artery, or vein		*technique is similar to the femoral nerve block, except the needle enters through the fascia iliaca at a more lateral site relative to the femoral nerve block to avoid hitting the femoral nerve, artery, or vein
	**this extends the block to include the lateral femoral cutaneous nerve, providing anesthesia to the lateral proximal thigh.		**this extends the block to include the lateral femoral cutaneous nerve, providing anesthesia to the lateral proximal thigh.
	**Infiltrate a larger volume of anesthetic (30-40cc), allowing anesthetic to travel along the fascial planes to the lateral femoral cutaneous nerve. The volume of anesthetic may be mixed with saline to create an adequate volume to ensure success of the block.		**Infiltrate a larger volume of anesthetic (30-40cc), allowing anesthetic to travel along the fascial planes to the lateral femoral cutaneous nerve. The volume of anesthetic may be mixed with saline to create an adequate volume to ensure success of the block.

	~~'''~~3-in-1-Block~~'''~~		===3-in-1-Block===
	**This block incorporates:		**This block incorporates:
	***Femoral nerve		***Femoral nerve