Ultrasound GEL Peds Fascia Iliaca Block
Feb 5, 2026
A lively discussion on using the fascia iliaca compartment block for pediatric femur fractures. They cover study design, who performed the blocks, and measured outcomes. Pain reduction, opioid-sparing effects, and length-of-stay are highlighted. Practical challenges, rare adverse events, and strategies for local implementation are debated.
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Fascia Iliaca Is Ideal For Pediatric Femur Pain
- Pediatric femur fractures are often extremely painful and can wait many hours for definitive care.
- Fascia iliaca compartment blocks can provide longer-lasting, targeted analgesia without major motor blockade.
Study Design: Real-World Multicenter Prospective
- This multicenter prospective study compared ultrasound-guided blocks to routine systemic analgesia in children 4–17 years with femur fractures.
- It measured pain reduction at 1 and 2 hours, opioid use, adverse events, and ED length of stay.
Perform The Block With A Lateral Long-Axis Approach
- Use a lateral long-axis approach visualizing the needle to deposit local anesthetic beneath the fascia iliaca lateral to the femoral nerve.
- Use ropivacaine or bupivacaine and avoid inguinal vessels by approaching from the lateral edge.