Nerve Block: Femoral
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.