How to Perform a Femoral Nerve block
-
Upload
nathaniel-sutton -
Category
Documents
-
view
237 -
download
1
description
Transcript of How to Perform a Femoral Nerve block
![Page 1: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/1.jpg)
How to Perform a Femoral Nerve block
Princess Alexandra Hospital Emergency Department
![Page 2: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/2.jpg)
Preparation:
Patient consentUltrasound – linear probeskin prep20mL syringepencil point needlelocal anaestheticgauze
![Page 3: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/3.jpg)
Why pencil point?Use a pencil point needle to better
appreciate passing through fascial planes and to limit trauma to the nerve.
![Page 4: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/4.jpg)
Identify Anatomy
Left leg
![Page 5: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/5.jpg)
Identify Anatomy
FV
FA
Femoral Nerve
![Page 6: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/6.jpg)
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
![Page 7: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/7.jpg)
Approach the field with the needle from the lateral edge of the probe longitudinally
![Page 8: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/8.jpg)
This way, you can visualise your needle in the field throughout the procedure
![Page 9: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/9.jpg)
Once you are in the nerve sheath, aspirate and slowly administer anaesthetic
![Page 10: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/10.jpg)
Clearly document the procedure in clinical notes
![Page 11: How to Perform a Femoral Nerve block](https://reader036.fdocuments.in/reader036/viewer/2022081502/5a4d1b627f8b9ab0599ae368/html5/thumbnails/11.jpg)
Remember in PAH ED you must complete your Procedural Ultrasound competency before you can perform Ultrasound-guided Femoral Nerve Block
independently