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Fascia Iliaca Block
Fascia iliaca block
fascia iliaca nerve blockade, fascia iliaca compartment blockade, femoral intercutaneal nerve blockade
When FIC is performed with the loss of resistance technique, the injection site for FIC is found by drawing an imaginary line between the pubic tubercle to the anterior superior iliac spine. The injection site is 1 cm. below the lateral one third and the medial two thirds of this line. Two losses of resistances are felt as the fascia lata and the fascia iliaca is penetrated by a semi-blunt cannula. Aspiration (drawing back the cannula) is performed, after which a local analgesic is injected while compressing on the skin distally to increase cranial distribution.
FIC can generally be performed with minimally required training and by non-medical practitioners
^ abcdSteenberg, J.; Møller, A.M. (April 2018). "Systematic review--effects of fascia iliaca compartment block on hip fractures before operation". British Journal of Anaesthesia. 120 (6): 1368-1380. doi:10.1016/j.bja.2017.12.042. PMID29793602.
^Chesters, A; Atkinson, P (October 2014). "Fascia iliaca block for pain relief from proximal femoral fracture in the emergency department: a review of the literature". Emergency Medicine Journal. 31 (e1): e84-7. doi:10.1136/emermed-2013-203073. PMID24389648.
^Pinson, S (October 2015). "Fascia Iliaca (FICB) block in the emergency department for adults with neck of femur fractures: A review of the literature". International Emergency Nursing. 23 (4): 323-8. doi:10.1016/j.ienj.2015.03.002. PMID25956668.
^Black, Karen JL; Bevan, Catherine A; Murphy, Nancy G; Howard, Jason J (17 December 2013). "Nerve blocks for initial pain management of femoral fractures in children". Cochrane Database of Systematic Reviews (12): CD009587. doi:10.1002/14651858.CD009587.pub2. PMID24343768.