Advertisement

Prehospital Ultrasound-Guided Pediatric Fascia Iliaca Block

Published:November 03, 2022DOI:https://doi.org/10.1016/j.amj.2022.09.008

      Abstract

      The fascia iliaca block (FIB) provides effective regional anesthesia for fractures of the femur. There is 1 previous case report of a prehospital FIB in a child using a landmark technique. We report the successful prehospital application of a FIB using ultrasound guidance in a 7-year-old girl.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Air Medical Journal
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Hards M
        • Brewer A
        • Bessant G
        • Lahiri S.
        Efficacy of prehospital analgesia with fascia iliaca compartment block for femoral bone fractures: a systematic review.
        Prehosp Disaster Med. 2018; 33: 299-307
        • Dochez E
        • van Geffen GJ
        • Bruhn J
        • Hoogerwerf N
        • van de Pas H
        • Scheffer G.
        Prehospital administered fascia iliaca compartment block by emergency medical service nurses, a feasibility study.
        Scand J Trauma Resusc Emerg Med. 2014; 22: 38
        • Lopez S.
        Fascia iliaca compartment block for femoral bone fractures in prehospital care.
        Reg Anesth Pain Med. 2003; 28: 203-207
        • McRae PJ
        • Bendall JC
        • Madigan V
        • Middleton PM.
        Paramedic-performed fascia iliaca compartment block for femoral fractures: a controlled trial.
        J Emerg Med. 2015; 48: 581-589
        • Evans BA
        • Brown A
        • Bulger J
        • et al.
        Paramedics’ experiences of administering fascia iliaca compartment block to patients in South Wales with suspected hip fracture at the scene of injury: results of focus groups.
        BMJ Open. 2019; 9e026073
        • Baker MD
        • Gullett JP.
        Ultrasound-guided femoral nerve blocks.
        Pediatr Emerg Care. 2015; 31: 864-868
        • Anantha RV
        • Stewart TC
        • Rajagopalan A.
        Analgesia in the management of pediatric and adolescent trauma during the resuscitative phase: the role of the pediatric trauma centre.
        Injury. 2014; 45: 845-849
        • Noble J
        • Zarling B
        • Geesey T
        • et al.
        Analgesia use in children with acute long bone fractures in the pediatric emergency department.
        J Emerg Med. 2020; 58: 500-505
        • Hildenbrand AK
        • Marsac ML
        • Daly BP
        • Chute D
        • Kassam-Adams N.
        Acute pain and posttraumatic stress after pediatric injury.
        J Pediatr Psychol. 2015; 41: 98-107
        • O'Reilly N
        • Desmet M
        • Kearns R.
        Fascia iliaca compartment block.
        BJA Educ. 2019; 19: 191-197
        • Faiz SHR
        • Derakhshan P
        • Imani F
        • Alebouyeh MR
        • Rahimzadeh P
        • Memarian A.
        A comparative study on the effect of femoral nerve block (FNB) versus fascia iliaca compartment block (FIC) on analgesia of patients with isolated femoral shaft fracture during spinal anesthesia.
        Trauma Mon. 2017; : 1208-1215
        • Minville V
        • Gozlan C
        • Asehnoune K
        • Zetlaoui P
        • Chassery C
        • Benhamou D.
        Fascia-iliaca compartment block for femoral bone fracture in prehospital medicine in a 6-yr-old child.
        Eur J Anaesthesiol. 2006; 23: 715-716
        • Golding JA
        • Burmeister L.
        Aseptic technique during peripheral nerve blockade: a survey of attitudes and practice in the Wessex region.
        Eur J Anaesthesiol. 2011; 28: 117
      1. Royal Childrens Hospital Melbourne guidelines. Available at: https://www.rch.org.au/clinicalguide/guideline_index/Local_anaesthetic_poisoning/. Accessed August 4, 2022.

        • McLean J
        • Cooke S
        • Burns B
        • Reid C.
        First reported helicopter in-flight serratus plane block for rib fractures.
        Air Med J. 2019; 38: 374-376