Lower Extremity Blocks Flashcards
What is a PENG block indicated for?
Hip fractures and hip arthroplasty
What nerves does a fascia iliaca block target?
Femoral n, obturator, and lateral femoral cutaneous
What type of procedures is appropriate for a fascia Iliaca block?
Femur, quadriceps, knee
**great pain relief for hip fractures
What are the three borders of a femoral block?
SAIL
S: sartorious muscle
A: adductor Mingus muscle
IL: Inguinal Ligament
Which branch of the femoral artery does the saphenous arise out of?
Posterior
What is the most common lower extremity block?
Femoral nerve block
What must you penetrate to ensure an efficacious femoral block?
Fascia lata and fascia Iliaca
What can a femoral block cause?
Quadriceps weakness…this leads to an increase in falls
What is the advantage of an adductor canal block over a femoral block?
Limits quadriceps weakness
What are the boundaries of the adductor canal?
Adductor longus (medial wall)
Sartorious (roof)
Vastus medial is (lateral wall)
Which two nerves does an adductor canal block house?
Saphenous and the nerve that innervates the vastus medialis
What are some of the surgical indications for an adductor canal block?
ACL repair
MCL repair
Patella fx
Vein stripping
Foot/ankle surgery
Stimulation of the tibial nerve in the popliteal fossa causes what?
Planter flexion and EVERSION of the foot
What are the indications for a popliteal block?
Lower leg, ankle, and foot
What are the key landmarks to a popliteal block?
Popliteal artery and vein
Biceps femoris,
Semitendinosus,
semimembranosus
