Ultrasound-guided Fascia Iliaca Blocks

[KiJinnChin]

00:48 - Evolution of the fascia iliaca block
03:40 - Out-of-plane femoral nerve block as a preferred alternative
05:11 - Technique of the out-of-plane suprainguinal femoral nerve block
06:46 - Insertion of a catheter for continuous nerve block
07:34 - Clinical considerations in RA for hip analgesia
10:08 - Transverse IP infra-inguinal fascia iliaca block (not recommended)
10:38 - Longitudinal IP supra-inguinal fascia iliaca block
12:11 - Summary / Conclusion

[Chemelilful]

OOP Femoral nerve block 10ml with needle directed cranial first and then SIFIB into the clearly visible and open fascia iliac plain is a game changer for me.

[gc]

Excelent Dr. K.J.Chin, that variant is a better reference than lateral aproach to see the needle under the fascia iliaca, and spread de LA to create a path for the needle is very creative. Thanks.

[ahmetmuratyayik]

This presentation has answered many questions in my mind, thank you professor for this excellent video.

[ThisAllSoundsGood]

Excellent explanation, diagrams, and videos. I also use this OOP-to-IP approach for PIVs and arterial lines.

[spjm]

At 6:37, is that the LFCN in the middle of the screen directly above and out of the fascial plane?

[wugiz]

@kijinnchin and what about these RA methods for urgent thrombectomy in femoral artery? Which one you would choose?

[jonathancheung]

Excellent presentation as always! Do you use the same technique even for obese individuals? For those patients sometimes due to the thick soft tissue you need to go through & steep angle used before reaching the desired plane it is quite difficult to adopt a shallow angle afterwards to keep the needle in the plane when you hydrodissect to the cephalad direction.

[JUSSTTIINFUK]

10:15 well done for speaking some sense and challenging this.

[fathisaleh]

Very good Explained thank you for uploading this education material which helps Anesthesiologist and Patient as well

[erickim]

@kijinnchin great video. Is it possible deposition of local anesthetic farther away from femoral nerve (bowtie or J Gadsden's approach) decreases incidence/intensity of motor block via differential sensory block (a la QL for abdominal surgery; or Lumbar ESP for spine surgery)? This may have useful in an outpatient setting to facilitate PT on POD0, prior to the advent of PENG; but a moot point if using fascia iliac for inpatient hip fracture (instead of ambulatory total hip arthroplasty)

[ahmedelgamassy]

Thanks for your nice work that I am a very big fan of.
Do you think QLB 3 for hip surgery analgesia can be effective ?
Thanks

[vcuheel]

What is your go to block for hip arthroscopy at an outpatient surgery center? Would you do this block or a PENG block?

[iaroslavvodolaga]

thank you very much, professor. Very useful.

[tobiastemann]

perfect job, thank you very much (also the rest of your videos, everything very well explained and highly interesting, uptodate resources!)

- question: how does the PENG block fit into this variety of approaches? esp., do you think it is possible to get the AON and the LCFN reliable into one technique (esp. interesting for continuous postop. analgesia)? Thanks in advance for a reply!