I only recently learned about this technique, and thought I’d share it as it seems to be a quite useful technique for lower limb analgesia, and potentially easier and more likely to succeed than a standard femoral nerve block.
The ultrasound geeks will already know how to do this block, but for those of us that are less proficient with the “stethoscope of the 21st century” for nerve blocks there is a quick & easy landmark technique you can use.
Rather than reproduce what’s already been written, I suggest you download this document (link to the authors site is here) and have a read, and then watch this video (which has no narration, but clearly demonstrates the landmarks & the “2-pop” technique), and then you can watch Al Sachetti (of EMRAP fame) do one on a real patient.
I’ll definitely be trying this on my next femur fracture or NOF patient and will let you know how it goes.
Got any tips for a fascia iliaca block? Leave a comment below.