Femoral Triangle Block For TKR

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In this short - but information-packed - sample of the growing video series in “Members-Only” section, Dr Hadzic explains the technique of femoral triangle block and discusses the risk of accidental injection in the femoral vein and how to reduce the risk. He also explains why femoral triangle is better in most patients for analgesia after total knee replacement (TKR), but not for all patients.

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Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Youtube channel is accurate.

[igork]

Great! Situation in this video occurs pretty often or i have bad luck 😁Keep going on that direction NYSORA 💪

[devendarjain]

First comment on this video!
Very nice video Dr. Hadzic, well explained.
Thanks

[KartikBSonawane]

Femoral triangle blocks are most commonly practiced block since ages.
The conventional ACB given at mid thigh location is actually given in the distal femoral triangle area.
Many studies hav confirmed that the apex of femoral triangle lie distal to mid thigh. So, whatever adductor blocks given at midthigh locations before, were all distal femoral triangle blocks.

We hav been giving this block as a component of DSB for TKR since 2017.
We never encounter any issues due to vein. We can simply avoid that vein as our targets lie superficial to it.
IMHO, distal FT block always better than ACB as it covers almost all procedure-specific anterior innervation of knee joint. ACB mainly blocks SN and popliteal plexus thru it distal spread in popliteal fossa, so ACB covers post innervations mainly.
Due to common target as popliteal plexus ACB can replace iPACK too if given exactly in true adductor canal below VAM.

[caduceus]

Thanks you for this video . one que : Where is the femoral nerve, below or above the iliac fascia, or between the two layers?

[georger]

Can you take a more shallow trajectory under fascial plane runningbelow sartorius to get to the target?
Reduce risk of needle injuring vein and neural structures

[jaccobninan]

How good is the block as a soul source of analgesia. Tried it in patients but it doesn't work that well. Also tried femoral nerve block. But the analgesia isn't sufficient.

[uramalakia]

You find this to be superior to adductor canal?

[olivierndamage]

The tip of needle is not visible
It's like out of plane technic