Nerve Block Gallery - Fascia Iliaca Nerve Block
Caption
An elderly female with multiple medical comorbidities presented to the ED with hip and thigh pain after a fall at home. Imaging demonstrated an intertrochanteric proximal femur fracture, and, after consultation with Orthopedic Surgery and detailed documentation of the patient’s neurovascular exam, a fascia iliaca nerve block was performed. This clip demonstrates the block, where the needle can be seen entering from the left of screen (laterally) along the trajectory outlined by the yellow diagonal, and anesthetic can be seen infusing just deep to the fascia iliaca and superomedially to the iliacus muscle. The pulsating femoral artery is seen medial to the site of injection. After the nerve block, the patient’s pain was improved and she was admitted for surgical fixation the next morning. Dr. Arian Anderson, PGY-4 and Dr. Michael Heffler, PGY-3 Denver Health Residency in Emergency Medicine