Fascia Iliaca Block

Published on 06/02/2015 by admin

Filed under Anesthesiology

Last modified 06/02/2015

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39 Fascia Iliaca Block

The fascia iliaca block is an anterior approach to lumbar plexus block that can result in extensive anesthesia and analgesia of the lower extremity. This block can provide analgesia following hip surgeries involving a lateral incision. Fascia iliaca block also can provide pain relief following hip fracture or be performed to help position a patient for spinal anesthesia prior to surgery. The fascia iliaca block may provide better thigh tourniquet tolerance than isolated femoral nerve blocks. Fascia iliaca injections reliably block the femoral nerve and lateral femoral cutaneous nerve (LFCN). Block of some of the adjacent nerves is also possible (including the ilioinguinal, genitofemoral, obturator, and accessory obturator nerves). Classically, fascia iliaca block is guided by tactile sensation (feeling two pops as a dull block needle is advanced through the fascia lata and fascia iliaca of the thigh).