Fascia iliaca blocks ( FIC , FICB ) is a local anesthetic nerve block , a type of regional anesthesia technique, used to provide analgesia or anaesthesia to the hip and thigh . FICB can performed by using ultrasound or with a loss of resistance technique , the latter sometimes referred to as the " two-pop-method ". FICB works by affecting the femoral , obturator and the lateral cutaneous nerves with a local anesthetic .
5-398: When FICB is performed with the loss of resistance technique, the injection site for FICB is found by drawing an imaginary line between the pubic tubercle to the anterior superior iliac spine . The injection site is 1 cm. below the lateral one third and the medial two thirds of this line. Two losses of resistances are felt as the fascia lata and the fascia iliaca is penetrated by
10-408: A semi-blunt cannula . Aspiration (drawing back the cannula) is performed, after which a local anaesthetic is injected while compressing on the skin distally to increase cranial distribution. FICB can generally be performed with minimally required training and by non-medical practitioners FIC can be used to offer pain relief for hip fractures in adults and femoral fractures in children. FIC
15-417: Is a prominent tubercle on the superior ramus of the pubis bone of the pelvis . The pubic tubercle is a prominent forward-projecting tubercle on the upper border of the medial portion of the superior ramus of the pubis bone . The inguinal ligament attaches to it. Part of the abdominal external oblique muscle inserts onto it. The inferior epigastric artery passes between the pubic tubercle and
20-508: Is generally safe to use and have few adverse effects . There is a 0.09-3.2% risk of hematomas at the injection site and a 0.18% risk of local anaesthetic intoxication . There are also case reports of pneumoretroperitoneum using continuous infusion, bladder puncture with a modified block under very special conditions and postoperative neuropathy . The block was first described in 1989 as an alternative to 3-in-1 nerve block in children. Pubic tubercle The pubic tubercle
25-415: The anterior superior iliac spine . The pubic spine is a rough ridge that extends from the pubic tubercle to the upper border of the pubic symphysis. The pubic tubercle may be palpated . It serves as a landmark for local anaesthetic of the genital branch of the genitofemoral nerve , which lies slightly lateral to the pubic tubercle. This may also be used for the obturator nerve . The pubic tubercle
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