Anatomical considerations for obturator nerve block with fascia iliaca compartment block

Thomas Fichtner Bendtsen; Erik Morre Pedersen; Bernhard Moriggl; Peter Hebbard; Jason Ivanusic; Jens Børglum; Thomas Dahl Nielsen; Philip Peng

doi:10.1136/rapm-2021-102553

Anatomical considerations for obturator nerve block with fascia iliaca compartment block

Thomas Fichtner Bendtsen^*
, Erik Morre Pedersen
, Bernhard Moriggl
, Peter Hebbard
, Jason Ivanusic
, Jens Børglum
, Thomas Dahl Nielsen
, Philip Peng

^*Corresponding author for this work

Anaesthesiology

Research output: Contribution to journal › Article › Research › peer-review

Abstract

This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.

Original language	English
Pages (from-to)	806-812
Number of pages	7
Journal	Regional Anesthesia and Pain Medicine
Volume	46
Issue number	9
Early online date	28 Apr 2021
DOIs	https://doi.org/10.1136/rapm-2021-102553
Publication status	Published - Sept 2021

Access to Document

10.1136/rapm-2021-102553

Cite this

@article{e84b7f6fdce440679aa6e12e76e4e40a,

title = "Anatomical considerations for obturator nerve block with fascia iliaca compartment block",

abstract = "This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.",

author = "Bendtsen, \{Thomas Fichtner\} and Pedersen, \{Erik Morre\} and Bernhard Moriggl and Peter Hebbard and Jason Ivanusic and Jens B{\o}rglum and Nielsen, \{Thomas Dahl\} and Philip Peng",

note = "{\textcopyright} American Society of Regional Anesthesia \& Pain Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2021",

month = sep,

doi = "10.1136/rapm-2021-102553",

language = "English",

volume = "46",

pages = "806--812",

journal = "Regional Anesthesia and Pain Medicine",

issn = "1098-7339",

publisher = "BMJ Publishing Group",

number = "9",

}

TY - JOUR

T1 - Anatomical considerations for obturator nerve block with fascia iliaca compartment block

AU - Bendtsen, Thomas Fichtner

AU - Pedersen, Erik Morre

AU - Moriggl, Bernhard

AU - Hebbard, Peter

AU - Ivanusic, Jason

AU - Børglum, Jens

AU - Nielsen, Thomas Dahl

AU - Peng, Philip

PY - 2021/9

Y1 - 2021/9

N2 - This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.

AB - This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.

U2 - 10.1136/rapm-2021-102553

DO - 10.1136/rapm-2021-102553

M3 - Article

C2 - 33911025

SN - 1098-7339

VL - 46

SP - 806

EP - 812

JO - Regional Anesthesia and Pain Medicine

JF - Regional Anesthesia and Pain Medicine

IS - 9

ER -

Anatomical considerations for obturator nerve block with fascia iliaca compartment block

Abstract

Access to Document

Fingerprint

Cite this