Abstract
A Femoral Nerve Block (FNB) is primarily utilized to provide cutaneous and osteotomal analgesia to the hip, thigh, and knee via nociceptive blockade with local anesthetic medications. FNB is most commonly performed preoperatively for orthopedic procedures involving the hip, femur, and knee, but can be useful for rescue analgesia after surgery or for treating patients with acute injuries in the emergency department or admitted to the hospital with acute pain. The femoral nerve can be easily located with ultrasound guidance allowing for local anesthetic to be deposited adjacent to the nerve to provide short term analgesia.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Ishiguro S, Yokochi A, Yoshioka K, et al. Anatomy and clinical implications of ultrasound-guided selective femoral nerve block. Anesth Analg. 2012;115:1467–70.
Li J, Dai F, Chang D, Harmon E, Ibe I, Sukumar N, et al. A practical analgesia approach to fragility hip fracture: a single-center, retrospective, cohort study on femoral nerve block. J Orthop Trauma. 2019;33(4):175–9.
Hadzić A, Houle TT, Capdevila X, Ilfeld BM. Femoral nerve block for analgesia in patients having knee arthroplasty. Anesthesiology. 2010;113:1014–5.
Ritcey B, Pageau P, Woo MY, Perry JJ. Regional nerve blocks for hip and femoral neck fractures in the emergency department: a systematic review. CJEM. 2016;18(1):37–47.
Salinas FV. Ultrasound and review of evidence for lower extremity peripheral nerve blocks. Reg Anesth Pain Med. 2010;35(2 Suppl):S16–25.
Montes FR, Zarate E, Grueso R, et al. Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy. J Clin Anesth. 2008;20:415–20.
Brodner G, Buerkle H, Van Aken H, et al. Postoperative analgesia after knee surgery: a comparison of three different concentrations of ropivacaine for continuous femoral nerve blockade. Anesth Analg. 2007;105:256–62.
Allen HW, Liu SS, Ware PD, Nairn CS, Owens BD. Peripheral nerve blocks improve analgesia after total knee replacement surgery. Anesth Analg. 1998;87:93–7.
Iskandar H, Benard A, Ruel-Raymond J, Cochard G, Manaud B. Femoral block provides superior analgesia compared with intra-articular ropivacaine after anterior cruciate ligament reconstruction. Reg Anesth Pain Med. 2003;28:29–32.
Mutty CE, Jensen EJ, Manka MA Jr, Anders MJ, Bone LB. Femoral nerve block for diaphyseal and distal femoral fractures in the emergency department: surgical technique. J Bone Jt Surg Am. 2008;90(Suppl):218–26.
Fowler SJ, Symons J, Sabato S, Myles PS. Epidural analgesia compared with peripheral nerve blockade after major knee surgery: a systematic review and meta-analysis of randomized controlled trials. Br J Anaesth. 2008;100:154–64.
Raith C, Kolblinger C, Walch H. Combined transgluteal ischial and femoral nerve block: retrospective data on 65 risk patients with leg amputation [in German]. Anaesthesist. 2008;57:555–61.
Luhmann SJ, Schootman M, Schoenecker PL, Gordon JE, Schrock C. Use of femoral nerve blocks in adolescents undergoing patellar realignment surgery. Am J Orthop. 2008;37:39–43.
Tran DQ, Salinas FV, Benzon HT, et al. Lower extremity regional anesthesia: essentials of our current understanding. Reg Anesth Pain Med. 2019;44:143–80.
Vloka JD, Hadzić A, Drobnik L, et al. Anatomical landmarks for femoral nerve block: a comparison of four needle insertion sites. Anesth Analg. 1999;89:1467–70.
Ty Muhly W, Orebaugh SL. Ultrasound evaluation of the anatomy of the vessels in relation to the femoral nerve at the femoral crease. Surg Radiol Anat. 2011;33:491–4.
Tran de QH, et al. Ultrasonography and stimulating perineural catheters for nerve blocks: a review of the evidence. Can J Anaesth. 2008;55(7):447–57.
Mariano ER, Loland VJ, Sandhu NS, et al. Ultrasound guidance versus electrical stimulation for femoral perineural catheter insertion. J Ultrasound Med. 2009;28:1453–60.
Tran DQ, Munoz L, Russo G, Finlayson RJ. Ultrasonography and stimulating perineural catheters for nerve blocks: a review of evidence. Can J Anaesth. 2008;55:447–57.
Sharma S, Iorio R, Specht LM, Davies-Lepie S, Healy WL. Complications of femoral nerve block for total knee arthroplasty. Clin Orthop Relat Res. 2010;468(1):135–40.
Widmer B, Lustig S, Scholes CJ, Molloy A, Leo SPM, Coolican MRJ, et al. Incidence and severity of complications due to femoral nerve blocks performed for knee surgery. Knee. 2013;20(3):181–5.
Further Reading
Hadzic A. Hadzic’s textbook of regional anesthesia and acute pain management. 2nd ed. New York: McGraw-Hill; 2017.
Tran DQ, Salinas FV, Benzon HT, et al. Lower extremity regional anesthesia: essentials of our current understanding. Reg Anesth Pain Med. 2019;44:143–80.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Neely, G.A., Elmore, B.J. (2022). Femoral Nerve Block. In: Souza, D., Kohan, L.R. (eds) Bedside Pain Management Interventions. Springer, Cham. https://doi.org/10.1007/978-3-031-11188-4_68
Download citation
DOI: https://doi.org/10.1007/978-3-031-11188-4_68
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-11187-7
Online ISBN: 978-3-031-11188-4
eBook Packages: MedicineMedicine (R0)