Fascia Iliaca Nerve Block

Fascia Iliaca Blocks (FIBs) are included as part of the big 6 in NOF fracture management in the ED. You should be familiar with the recent RCEM safety alert, which specifies the risk of opiate associated apnoea and the importance of observations in the ED for 30 minutes post procedure. Injection of local anaesthetic into the fascia iliaca compartment allows spread to the femoral and lateral femoral cutaneous nerves that supply the medial, anterior and lateral thigh. FIBs provide not only analgesia during the period in ED, but also ongoing requirements on the ward when the patient is transferred and turned for pressure area care. They enable a shorter time to theatre and reduce the rates of pneumonia. Isn't it a skill worth learning?


Hannah Bell