Nerve Block: Fascia Iliaca Compartment: Difference between revisions
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==Indication== | ==Indication== | ||
Indicated for isolated femur fractures, etc. | |||
==Medications== | |||
Use: | Use: | ||
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>20kg = 0.5 ML/kg | >20kg = 0.5 ML/kg | ||
^max - 30mL | |||
OR | OR | ||
| Line 18: | Line 17: | ||
2) Bupivicaine | 2) Bupivicaine | ||
^Risk of cardiac depression if injected intravascularly | |||
==Procedure== | ==Procedure== | ||
# Point = 2/3 laterally along line between ant/sup iliac spine and pubis | |||
##i.e. sig lateral to nerve | |||
# 90 deg angle with 22Ga needle | |||
# 2 "pops" through facial plains (1 inch max) | |||
# Withdraw to check not in vessel | |||
# Apply pressure 1 inch caudally accross thigh | |||
# Infuse drug | |||
# Hold pressure on thigh for 2 minutes | |||
##to encourage cephalad spread | |||
^Should see effect in <10 min | |||
==Source== | ==Source== | ||
8/07 DONALDSON (adapted from EM Annals 8/07) | 8/07 DONALDSON (adapted from EM Annals 8/07) | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 16:35, 9 June 2011
Indication
Indicated for isolated femur fractures, etc.
Medications
Use:
1) Ropivacain (Natropin) 0.5%
<20kg = 0.75mL/kg
>20kg = 0.5 ML/kg
^max - 30mL
OR
2) Bupivicaine
^Risk of cardiac depression if injected intravascularly
Procedure
- Point = 2/3 laterally along line between ant/sup iliac spine and pubis
- i.e. sig lateral to nerve
- 90 deg angle with 22Ga needle
- 2 "pops" through facial plains (1 inch max)
- Withdraw to check not in vessel
- Apply pressure 1 inch caudally accross thigh
- Infuse drug
- Hold pressure on thigh for 2 minutes
- to encourage cephalad spread
^Should see effect in <10 min
Source
8/07 DONALDSON (adapted from EM Annals 8/07)