Nerve Block: Fascia Iliaca Compartment

Indication

• Indicated for isolated femur fractures, etc.

Use:

1) Ropivacain (Natropin) 0.5%

<20kg = 0.75mL/kg

>20kg = 0.5 ML/kg

• max - 30mL

OR

2) Bupivicaine

• Risk of cardiac depression if injected intravascularly

Procedure

1) Point = 2/3 laterally along line between ant/sup iliac spine and pubis

-i.e. sig lateral to nerve

2) 90 deg angle with 22Ga needle

3) 2 "pops" through facial plains (1 inch max)

4) Withdraw to check not in vessel

5) Apply pressure 1 inch caudally accross thigh

6) Infuse drug

7) Hold pressure on thigh for 2 minutes

-to encourage cephalad spread

• Should see effect in <10 min

Source

8/07 DONALDSON (adapted from EM Annals 8/07)