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Pain pp 491-494 | Cite as

Femoral Nerve

  • James Light
  • Gaurav TrehanEmail author
  • Stephen McCaughan
Chapter

Abstract

A femoral nerve block is useful for superficial and deep surgeries performed on the anterior thigh. A slight variation is the “3-in-1” block, as one block at the femoral crease could theoretically provide analgesia to the femoral, lateral femoral cutaneous, and obturator nerves. In practice, however, obturator nerve distribution is often missed and an additional posterior lumbar plexus block should be performed for reliable analgesia of all three nerves. A femoral nerve block can be combined with additional lower extremity peripheral blocks, such as a sciatic nerve block, to provide complete analgesia for operations on the lower leg and foot and for prolonged continuous catheter analgesia after surgery on the knee or femur. This chapter discusses anatomy, nerve block techniques, indications, contraindications and complications of a femoral nerve block.

Keywords

3-in-1 block Femoral nerve Inguinal ligament Femoral artery Femoral vein Fascia iliaca 

References

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    Vloka JD, et al. Anatomic landmarks for femoral nerve block: a comparison of four needle insertion sites. Anesth Analg. 2001;92:455–9.CrossRefGoogle Scholar
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    Buckenmaier C, Bleckner L. Military advanced regional anesthesia and analgesia handbook. Chapter 15. Washington, DC: Borden Institute; 2009.Google Scholar
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    O’Donnell BD, et al. Ultrasound-guided femoral nerve block, the safest way to proceed? Reg Anesth Pain Med. 2006;31:387–8.CrossRefGoogle Scholar
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    Casati A, et al. Effects of ultrasound guidance on the minimum effective anaesthetic volume required to block the femoral nerve. Br J Anaesth. 2007;98:823–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologyTemple University HospitalPhiladelphiaUSA
  2. 2.Department of Anesthesiology and Critical Care, Lewis Katz School of MedicineTemple UniversityPhiladelphiaUSA

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