Excellent video. The two "pops" illustrated in the beginning are the key teaching points here. May I suggest an audio teaching "commentary" that can be added in post-production? Keep up the great work!
Excellent video ! I use this block a lot in my practice but more as a sigle shot. How much do you advance the catheter usually ? In your experience how many days do they "endure" before dislodging ? What rate of infusion do you prescribe for the postoperatory period ? Thanks again for an excellent video
thanks for the reply, do you use a concoction of a mixture of bupivacaine and xylocaine and how much of each do you use in what concentration. I was told by my boss to watch your video as he reckons it's great for fractured NOFs and femurs.
No need to use Xylocaine (lidocaine) - the block has an incredibly fast onset using bupivacaine only. I suspect this is due to the LA penetrating the ilio-psoas muscle causing an immediate reduction in the fracture associated spasm.
yeah indeed, that stridor just sound like a happy sound. I wish there was some commentary taking us through the procedure. Why is it better that the usual femoral nerve block?
The block is performed more laterally to the traditional approach to the femoral nerve. Therefore, using a volume of LA of 20mls+ you should also achieve a lateral cutaneous nerve of thigh block. This may be useful for THR or #NOF surgery. Also, the block is performed without the aid of a nerve stimulator and so can easily be taught to non-anaesthetists (and even non-doctors). This may allow the block to applied to patients in a non-OR environment e.g. A&E or the wards.
Great video, thanks, I've already tried for OR. I'll give it a go for #NOF in ER next.
Any chance you can add text or audio commentary?
yidakishaman 2 years ago
Excellent video. The two "pops" illustrated in the beginning are the key teaching points here. May I suggest an audio teaching "commentary" that can be added in post-production? Keep up the great work!
ahnguard88 2 years ago
Excellent video ! I use this block a lot in my practice but more as a sigle shot. How much do you advance the catheter usually ? In your experience how many days do they "endure" before dislodging ? What rate of infusion do you prescribe for the postoperatory period ? Thanks again for an excellent video
minihada 3 years ago
thanks for the reply, do you use a concoction of a mixture of bupivacaine and xylocaine and how much of each do you use in what concentration. I was told by my boss to watch your video as he reckons it's great for fractured NOFs and femurs.
schaferhund8 3 years ago
No need to use Xylocaine (lidocaine) - the block has an incredibly fast onset using bupivacaine only. I suspect this is due to the LA penetrating the ilio-psoas muscle causing an immediate reduction in the fracture associated spasm.
driharper 3 years ago
yeah indeed, that stridor just sound like a happy sound. I wish there was some commentary taking us through the procedure. Why is it better that the usual femoral nerve block?
schaferhund8 3 years ago
The block is performed more laterally to the traditional approach to the femoral nerve. Therefore, using a volume of LA of 20mls+ you should also achieve a lateral cutaneous nerve of thigh block. This may be useful for THR or #NOF surgery. Also, the block is performed without the aid of a nerve stimulator and so can easily be taught to non-anaesthetists (and even non-doctors). This may allow the block to applied to patients in a non-OR environment e.g. A&E or the wards.
driharper 3 years ago
I wish the demonstrator had tried to explain the procedure to mask the patient's obstructed airway. I wish the patient all the best for his recovery
portbair 3 years ago
non-sense, he/she was just snoring......zzzz
not a bad thing if you/ve got a hip fracture
jondg1 2 years ago
Good technique for fascia iliaca block. That guy needed his obstructed airway sorting out though!
drgreenway 3 years ago
Very good teaching and demostration.
yrpeng 4 years ago