Ultrasound Guided Fascia Iliaca Block: A Comparison With the Loss of Resistance Technique

Dolan, John W.; Williams, Anne; Murney, Eileen; Smith, Malcolm D.

doi:10.1016/j.rapm.2008.03.008

Cited by 127 publications

(146 citation statements)

References 17 publications

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“…Dolan et al note that subcutaneous fascia in certain regions may consist of several layers. Blind penetration of any of these fascial planes may have been wrongly perceived as that of the fascia iliaca [20]. No significant differences between the FEM and the FIC group were noted regarding the piritramide consumption in the postoperative period, but it was slightly higher in the FIC group (FEM: 20 mg, FIC 26 mg).…”

Section: Discussionmentioning

confidence: 87%

A Randomized and Observer Blinded Comparison of Continuous Femoral Block and Fascia Iliaca Compartment Block in Hip Replacement Surgery

2012

J Anesthe Clinic Res

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IntroductionPain after hip replacement surgery may potentially hinder postoperative physiotherapy and early mobilisation. Regional anesthesia of the lower limb appears to be effective for postoperative pain control [1] in this setting and it has been shown that the lumbar plexus blockade provides high-quality analgesia [2], as the femoral nerve supplies the anterior hip joint capsule, as well as the proximal femur, the quadriceps, iliacus and pectineus muscles.The most common approach is the femoral perivascular technique with a peripheral nerve stimulator [3]. Several studies have demonstrated that this approach does not achieve a reliable block of all three nerves (femoral nerve, obturator nerve, lateral femoral cutaneous (LFC) nerve) [2]. The femoral (FEM) block fails mostly in areas supplied by the LFC and the obturator nerve. Capdevila and Seeberger have seen a sufficient anesthesia of the LFC by using the femoral block in only 62% [2] respectively 44% [4]. But the LFC nerve may at least in part be responsible for pain in the incisional area of hip surgery.An alternative approach to the FEM block is the fascia iliaca compartment (FIC) block. Anesthesia of the LFC is achieved in 90% by using the FIC block [5]. The puncture site is further from the femoral nerve, laterally, and two are perceived when piercing the facia. Local anesthetic does not only reach the LFC nerve, but also the femoral nerve because the needle tip and the femoral nerve are located in the same compartiment (Figure1). Therefore, the FIC block could provide effective analgesia after hip surgery as an alternative to FEM-block.No prospective trial has been reported yet comparing the two approaches in hip surgery in regard to procedural technique differences, analgesia and functional outcome.The goal of the study was to verify the assumption that the FIC block is less time-consuming to perform but provides equally effective analgesia compared to the FEM block, even with an ad hoc implementation in the clinical routine, as performing the fascia iliaca compartment block was a new procedure in our department and experience with it was barely existent compared to the perivascular FEM block. AbstractBackground: Techniques, analgesic effects and functional outcome of continuous femoral nerve and fascia iliaca compartment blocks were compared in patients undergoing hip replacement surgery.

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Section: Discussionmentioning

confidence: 87%

A Randomized and Observer Blinded Comparison of Continuous Femoral Block and Fascia Iliaca Compartment Block in Hip Replacement Surgery

2012

J Anesthe Clinic Res

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“…ment has been shown to affect functional outcomes adversely in these patients [3]. We therefore believe that excluding such a large proportion of the population means that the conclusions from this study are less applicable in day-to-day practice.…”

mentioning

confidence: 88%

“…First, the authors did not standardise to one nerve localisation technique (anatomical landmark or nerve stimulator or ultrasound) and therefore the degree to which the observed difference occurred because of differences in technique rather than nerve anatomy cannot be quantified. Indeed, evidence favouring ultrasound to guide local anaesthetic infiltration for peripheral nerve blockade [2] including nerve blocks in patients with femoral trauma [3], together with the increasing use of ultrasound in regional anaesthesia practice, suggest their study could have been more widely applicable had it com-…”

Section: J Mackenziementioning

confidence: 99%

Pre‐operative femoral nerve block vs fascia iliaca block for femoral neck fracture – 4

Mackenzie

2013

Anaesthesia

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“…Alternatives include performing a fascia iliaca block or individually blocking the lateral cutaneous nerve. 29 An ultrasound version of the fascia iliaca block has been described in adults by Dolan et al 30 Ultrasound location of the lateral cutaneous nerve has recently been described in adults by Ng and Vaghadia; 31 however in infants and small children it may prove more difficult to identify due to its small size and limitations of the lateral resolution of standard probes.…”

Section: Femoral Blockmentioning

confidence: 99%

Paediatric Ultrasound-Guided Regional Anaesthesia: Peripheral Techniques

Roberts¹,

Neary²

2010

IJUTPC

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Ultrasound Guided Fascia Iliaca Block: A Comparison With the Loss of Resistance Technique

Abstract: Ultrasound-guided fascia iliaca block increased the frequency of sensory loss in the medial aspect of the thigh. Ultrasound guidance also increased the frequency of femoral and obturator motor block.

Cited by 127 publications

References 17 publications

A Randomized and Observer Blinded Comparison of Continuous Femoral Block and Fascia Iliaca Compartment Block in Hip Replacement Surgery

A Randomized and Observer Blinded Comparison of Continuous Femoral Block and Fascia Iliaca Compartment Block in Hip Replacement Surgery

Pre‐operative femoral nerve block vs fascia iliaca block for femoral neck fracture – 4

Paediatric Ultrasound-Guided Regional Anaesthesia: Peripheral Techniques

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