Nerve Block: Femoral: Difference between revisions
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==Background== | |||
*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> | |||
==Indications== | ==Indications== | ||
*[[Femur fracture]] | |||
*[[Hip fracture]] | |||
*[[Patella fracture]] | |||
*Any other significant trauma or need to perform painful procedure in distribution of femoral nerve (anterior and lateral lower extremity) | |||
==Contraindications== | ==Contraindications== | ||
*Infection overlying injection site | |||
==Equipment Needed== | ==Equipment Needed== | ||
*Ultrasound with sterile probe cover | |||
*Syringe with 25-30ga needle | |||
*Local anesthetic | |||
*Chlorhexidine or betadine | |||
*Sterile drape | |||
==Procedure== | ==Procedure== | ||
==Complications== | ==Complications== | ||
*Inadvertent intravascular injection | |||
*Infection | |||
*Bleeding/hematoma | |||
==See Also== | ==See Also== | ||
*[[Nerve Blocks (Main)]] | *[[Nerve Blocks (Main)]] | ||
*[[Local Anesthetic Systemic Toxicity (LAST)]] | |||
==External Links== | ==External Links== | ||
Revision as of 10:09, 9 August 2015
Background
- Found to be effective method of regional pain control in ED[1]
- Does not alter clinical presentation of developing compartment syndrome (compartments innervated by sciatic nerve)[2]
Indications
- Femur fracture
- Hip fracture
- Patella fracture
- Any other significant trauma or need to perform painful procedure in distribution of femoral nerve (anterior and lateral lower extremity)
Contraindications
- Infection overlying injection site
Equipment Needed
- Ultrasound with sterile probe cover
- Syringe with 25-30ga needle
- Local anesthetic
- Chlorhexidine or betadine
- Sterile drape
Procedure
Complications
- Inadvertent intravascular injection
- Infection
- Bleeding/hematoma
See Also
External Links
References
- ↑ 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.
- ↑ 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.