Lower extremity blocks APEX familiarization

Question 1

Types of lower ex blocks

Answer 1

Ankle
Popliteal
Adductor canal
Femoral
Fascia iliaca
Periscapular nerve group block PENG

Question 2

Lumbar plexus

Answer 2

L1-L4 and T12
6 nerves- i invariably get lazy on fridays
Iliohypogastric
illioinguinal
Genitofemoral
Lateral femoral cutaneous
obturator
femoral

Question 3

Sacral plexus

Answer 3

L4-S3
5 nerves- SIPPS
superior gluteal
inferior gluteal
posterior cutaneous
pudendal
sciatic

Question 4

Terminal nerves at the ankle

Answer 4

Saphenous
superficial peroneal
deep peroneal
sural
posterior tibial

Question 5

Periscapular nerve group block

Answer 5

PENG
Nailing of a hip fx
inner hip

Question 6

Fascia iliaca block

Answer 6

femoral
obturator
lateral femoral
knee, femur, quads outer hip

Question 7

Femoral nerve block

Answer 7

SAIL
sartorius muscle
adductor longus muscle
Inguinal Ligament
Most common
When combines with sciatic (and only) complete surgical coverage to lower extremity
hip femur knee quad

Question 8

Adductor canal block

Answer 8

limits quad weakness (contrary to femoral block)
Sooner and safer ambulation after surgery
patella, foot/ankle, vein harvesting, MCL/ACL

Question 9

Popliteal nerve

Answer 9

below knee
achilles, foot , ankle
When combines with saphenous, combines complete cvg below knee

Question 10

Ankle block

Answer 10

3S- sensory
DP- sensory and motor
Saphenous
Sural
Superficial peroneal
Deep peroneal
Posterior tibial

Question 11

Ankle block techniques

Answer 11

posterior tibial