Local anesthetic injection deep to the fascia iliaca at the level of the inguinal ligament: the pattern of distribution and effects on the obturator nerve

• Published in: Journal of clinical anesthesia Vol. 27; no. 8; pp. 652 - 657
• Main Authors: Swenson, Jeffrey D., MD, Davis, Jennifer J., MD, Stream, Joshua O., MD, Crim, Julia R., MD, Burks, Robert T., MD, Greis, Patrick E., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2015; Elsevier Limited
• Subjects: Adolescent; Adult; Anesthesia & Perioperative Care; Anesthetics, Local - administration & dosage; Anesthetics, Local - pharmacokinetics; Anterior Cruciate Ligament Reconstruction - methods; Fascia iliaca block; Female; Femoral Nerve; Humans; Knee; Ligaments; Magnetic Resonance Imaging - methods; Male; Medical research; Methods; Needles; Nerve Block - methods; NMR; Nuclear magnetic resonance; Obturator nerve; Obturator Nerve - metabolism; Pain Medicine; Pain, Postoperative - prevention & control; Patients; Prospective Studies; Three-in-one block; Tissue Distribution; Ultrasonography, Interventional - methods; Young Adult; United States > US; Fascia iliaca block; Three-in-one block; Obturator nerve

Abstract Study objective The femoral, lateral femoral cutaneous, and obturator nerves (ONs) can reportedly be blocked using a single-injection deep to the fascia iliaca (FI) at the level of the inguinal ligament. Two commonly used methods (the FI compartment and 3-in-1 blocks) have produced inconsis...