Femoral Nerve Block — the Anatomical Basis for a Single Injection Technique

Author:

Khoo S. T.12,Brown T. C. K.13

Affiliation:

1. Department of Anaesthesia, Royal Children's Hospital, Flemington Road, Parkville, Victoria

2. Fellow in Anaesthesia, Royal Children's Hospital. Present address: Singapore General Hospital, Singapore.

3. Director of Anaesthesia, Royal Children's Hospital.

Abstract

A technique for blocking the femoral nerve using a single needle placement is described. It depends on an appreciation of the anatomy and the need to feel loss of resistance twice as two fascial layers are penetrated during insertion of the needle just lateral to the femoral artery. A single injection of bupivacaine 0.35-0.5 per cent of at least 0.3 ml/kg will produce a satisfactory block.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

Reference5 articles.

1. LofstromB. Illustrated Handbook in Local Anaesthesia. EjnarEriksson ed. Munksgaard, Copenhagen 1969; 102–103.

2. CousinsM., BridenbaughP.O. Neural Blockade in Clinical Anaesthesia and Management of Pain. J. B. Lippencott Co, USA 1980; 331–331.

3. MooreD.C. Regional Block. 3rd Ed. Charles C. Thomas, Springfield 1961; 226–227.

4. Analgesia in patients with fractured shaft of femur

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