FASCIA ILIACA BLOCK
ON CALL FASCIA ILIACA PROTOCOL
Supplies Needed at bedside
Ropivacaine 0.2% or 0.5% (will need an injection of 30-40cc, check dosage chart below)
Decadron 6mg (Order as 10mg IV solution and draw up as needed)
**20% Lipid Emulsion must be readily available**
Blunt tip
Extension tubing
60cc syringe
Sterile gloves
20g or 22g spinal needle
Chlorhexidine swabs
Drape
Sterile probe cover
Ultrasound machine with linear probe
Ropivacaine Dosage Chart
Relevant Anatomy
Femoral nerve and lateral femoral cutaneous nerves lie deep to the fascia iliaca, adjacent to the iliacus muscle. Femoral vein and artery lie superficial to this fascia. Both nerves begin branching extensively proximally and so care should be taken to perform injection of anesthesia as close to the inguinal ligament as possible, though some spreading superiorly will occur.
Ultrasonography
Identify femoral artery superiorly in the groin prior to any branches
Slide laterally to identify iliacus muscle and overlying fascia (possibly identify femoral nerve)
Insert needle lateral to target area and advance under in plane visualization