Recognizing Appropriate Fascia Iliaca Spread: Watch this Video!
There is NO Doubt! This fascia iliaca video shows several key ultrasound cues that should always lead you to a successful nerve block. After the needle is advanced in a cranial direction, the initial injection reveals a very thin distribution of local anesthetic which does not inject easily (noted by assistant). Further, upon this injection,.. read more →
Fascia Iliaca Tips #2
THE SPREAD Usually, the Fascia Iliaca and Fascia Lata are clearly identifiable next to the thinner and less echogenic muscle fibers of the Sartorius and Iliopsoas muscles. There are times, however, when the deeper border of the Sartorius muscle blends in well or the exact position of the tip of your needle is difficult to.. read more →
FASCIA ILIACA
I know I keep saying that this or that block is one of the ‘easy ones’, but this one really is another one of them. There are only a few simple essentials to identify on the image, and this block is also a good one to perform early as you are developing ultrasound.. read more →
Sartorius Muscle
SARTORIUS: FRIEND OR FOE? Sounds like a silly title, but it does describe how I feel about that muscle sometimes when I am performing a continuous block for a Femoral, Fascia Iliaca or Saphenous nerve block. I described last week how the Sartorius Muscle can frustrate your attempts at a Fascia Iliaca block... read more →
Fascia Iliaca Tips
THE TRIANGLE If there is a sweet spot for the Fascia Iliaca block, it is ‘The Triangle”. That’s what I have come to call it, anyway. This is not the ‘Femoral Triangle’ you were taught in medical school … REGISTER for FREE to become a SUBSCRIBER or LOGIN HERE to see the.. read more →
CPNB for AKA
I have done continuous blocks in the past for post-operative analgesia (and to mitigate the risks of persistent pain and phantom pain and a multitude of other potential benefits) for amputations and as the primary anesthetic for foot amputations and BKA’s many times in the past. I have more consistently been performing CPNB’s.. read more →
Block Evaluation 3
WELCOME BACK! I have made a number of observations and recognized a number of patterns over the last several years working with nerve block patients. Here’s another I’d like to share. A point that I’ve made a dozen times in lecturing is that as you change or add techniques or processes, do so.. read more →