how to perform a femoral nerve block
Post on 18-Jan-2018
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How to Perform a Femoral Nerve block
Princess Alexandra Hospital Emergency Department
Preparation:
Patient consentUltrasound – linear probeskin prep20mL syringepencil point needlelocal anaestheticgauze
Why pencil point?Use a pencil point needle to better
appreciate passing through fascial planes and to limit trauma to the nerve.
Identify Anatomy
Left leg
Identify Anatomy
FV
FA
Femoral Nerve
Use 20mL syringe filled with local anaesthetic connected to pencil point needle
Use 20 mL of 1% lignocaine or 0.5% bupivacaine or combination
For the purposes of femoral blocks in the ED, the nerve stimulator connector can be removed with scissors
Approach the field with the needle from the lateral edge of the probe longitudinally
This way, you can visualise your needle in the field throughout the procedure
Once you are in the nerve sheath, aspirate and slowly administer anaesthetic
Clearly document the procedure in clinical notes
Remember in PAH ED you must complete your Procedural Ultrasound competency before you can perform Ultrasound-guided Femoral Nerve Block
independently
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