Anterior Femoral Cutaneous Nerve Block (The Cuties!)
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- Опубліковано 25 чер 2024
- In this video, we describe the anatomy, sonoanatomy and technique for blocking the anterior femoral cutaneous nerves, which is extremely useful for pain control after knee replacement and other knee procedures.
Thanks once again. Love your channel. Have learnt most of the blocks watching your channel and it has made dramatic difference in pain management in my practice. I am also spreading this knowledge through workshops in local conferences. There is nothing more rewarding than spreading the knowledge and experience. Thanks again. ❤
Been doing these for a few months now but didn’t know about the medial branch! Always learning from the Great Gadsden!
Thank you so much for posting this video. Used this block (plus adductor and LFCN) for a rare prepatellar bursa excision case. Opioid free, no local injected by surgeon. Great outcome.
Simply the best. Love it!
Try treating these with iovera a month pre-op for better prehab and post op analgesia.
Can you please make more videos about blocks for chronic pain🙏🏻
Thanck you from Russia with ❤
Great stuff as always. Any tips for dealing with tourniquet pain?
Ask your surgeon to not use one (in 5 years time 100% of my knee surgeons abandonned it for TKR) For long procedures under Tourniquet : Femoral Artery Block (FAB).. works ! 8-10mL of lido or mepi between fem artery and vein... can't seem to find the video describing it
This is getting wild. I started out with a combination of IPACK (10mL) and the saphenous nerve in the adductor canal (10mL). Then I added the nerve to vastus medialis in the adductor canal (10mL). Then the 3 out of 4 genicular branches and the nerve to vastus intermedius (2,5mL each, 10mL total). And now the femoral cutaneous branches also? I'm gonna have to start mixing my local in a bucket. Is there a minimal effective volume for the femoral cutaneous branches? I'm gonna go read up on any studies I can find. And I'm definately trying this on myself tomorrow but I'm adding some adjuvants to see how far I can push the duration.
I'm starting to think that rather than using local anesthetic to block all these nerves, cryoablation preop would be far superior.
We do adductor / VM, geniculars, and ipack. Now this, would you do these instead of geniculars. Dilute it even more and add this too?
@@timmaher2372 I decided to follow dr. Gadsden's advice. And I have to say, it works well. The main thing all these blocks have provided me with is consistency. Before, some patients would benefit more than others. Now, VAS 0 after spinal wears off across the board. I use 60mL of local combined. I vary between 0,375% and 0,5%, depending on patient height and weight.
Ok, this is for PO analgesia. What about surgery block? What do you suggest to do in order to be less invasive? Thanks!
Another EXCELLENT video! Honestly, I don't understand why these blocks have not been popular for YEARS? (And I'm not saying I knew anything about them)
Because i think that block for more regional blocks enthusiasts and a personal interest of a particular anesthesiologist In real life most of anaesthesiologists do classic and easy blocks.
@regionalanesthesiology as always one of the best youtube channels on this topic.❤
Because skin blocks are pointless when the surgeon can just infiltrate the wound.