Thank you for sharing. I find this block useful and I've been doing it for some time in TKR cases. I noticed that very often I could identify clearly cutaneous nerves during my scout scan for the femoral triangle block. If these nerves were traced back/cranially to their origin, it was possible to find a single nerve very often, superficial to the sartorius muscle, that splits from the main femoral nerve, some centimeters distal from the inguinal crease. I guess this is the right place to perform the block, with just a few mL of LA. After that, I just go for the LFCN. What makes this really interesting is that from this point on, you can perform the FT block, then the geniculars and even the IPACK with minimal discomfort for the patient. It would be usefull just for this purpose, but I really believe the AFCN has a role on analgesia on its own for TKR and it should be performed as part of the package, as you just say. Thank you again, all the best!
Thank you. In theory, yes it should depending on final location and volume of LA injected. One of the other comments on here suggested following one of the Cutie Branches proximal towards Inguinal crease and the origin from the femoral nerve. That would be the other option to catch MFCN proximally.
Excellent. Do let me know how you get on. If you want it for proximal coverage, once you have identified one of those cuties,slide the probe as proximal as you can tracing it up to catch it near to the origin from femoral nerve.
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Great! Thank you so much for the clear and elegant explanation!
You are most welcome 🙏🏽!
Thank you for sharing. I find this block useful and I've been doing it for some time in TKR cases. I noticed that very often I could identify clearly cutaneous nerves during my scout scan for the femoral triangle block. If these nerves were traced back/cranially to their origin, it was possible to find a single nerve very often, superficial to the sartorius muscle, that splits from the main femoral nerve, some centimeters distal from the inguinal crease. I guess this is the right place to perform the block, with just a few mL of LA. After that, I just go for the LFCN. What makes this really interesting is that from this point on, you can perform the FT block, then the geniculars and even the IPACK with minimal discomfort for the patient. It would be usefull just for this purpose, but I really believe the AFCN has a role on analgesia on its own for TKR and it should be performed as part of the package, as you just say. Thank you again, all the best!
What a fabulous insight. Thanks so much. Makes perfect sense we should be able to chase to origin. I’ll try that next time!!
Dear Amit, thank you for this clear explanation. Really helpful.
You are most welcome! Hope it comes in useful. Do let me know. Many thanks
Excellent short video on AFCN block..Will it take care of the medial femoral cutaneous nerve also? in the location as shown in the video..
Thank you. In theory, yes it should depending on final location and volume of LA injected. One of the other comments on here suggested following one of the Cutie Branches proximal towards Inguinal crease and the origin from the femoral nerve. That would be the other option to catch MFCN proximally.
Thank you dr..very useful video as usual
So nice of you to say that! Thank You 🙏🏽
Good video, thanks, i might use it next time for skin graft harvest along with lcfn block
Excellent. Do let me know how you get on. If you want it for proximal coverage, once you have identified one of those cuties,slide the probe as proximal as you can tracing it up to catch it near to the origin from femoral nerve.
Excellent and informative video! Thanks!
Thanks so much! Happy you liked it!!
Thanks, good one.
Thank you!