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30 Cards in this Set

  • Front
  • Back

Motor and sensory innervation of the anterior lower extremity

Lumbar plexus

Lumbar plexus is formed by

Ventral rami (L1-4, occasional T 12)

3 major nerves of lumbar plexus

Lateral fem cutaneous, femoral, obturator

Innervation of lateral femoral cutaneous

L1-4

Innervation of femoral nerve

L2-4

Innervation of obturator nerve

L2-4

Motor and sensory innervation of posterior aspect of LE and foot

Sacral plexus

Sacral plexus arises from

L4-5 and S1-4

Major nerves of sacral plexus

Sciatic (tibial/peroneal) and posterior femoral cutaneous

Innervation of sciatic (tibial/peroneal) nerve

L4-5, S1-4

Innervation of posterior femoral cutaneous nerve

S1-3

Provides sensory to the posterior thigh

Posterior femoral cutaneous nerve

Travels with sciatic, then emerges around the piriformis muscle

Posterior femoral cutaneous nerve

Post fem cut n is _____ to sciatic, so may be missed with that block

Proximal

With this block you are injecting into muscle

Lumbar plexus

This block is an alternative to GA or spinal for procedures involving anterior thigh, knee and hip

Lumbar plexus

Lumbar plexus block is also known as

Psoas compartment block

Name the fascia punctured with the lumbar plexus block

Psoas and quadratus labnorum

This blocks lateral fem cut, femoral and obturator nerves

Lumbar plexus

Also called a 3 in 1 block

Lumbar plexus

Lumbar plexus block: not a lot of room in there so if you inject a lot of vol, you will probably get

Bilateral effect

You should elicit a femoral motor response with the lumbar plexus block which is a

Patellar snap

Lumbar plexus block: if bone is contacted, the needle is withdrawn and walked off ____

Caudally

Femoral block: all motor is below the

Knee

Femoral block targets the major branch of the

Lumbar plexus

Provides anesthesia to the anterior thigh, knee, and a small part of lower leg

Femoral block

Femoral nerve lies laterally to the ____

Femoral artery

Femoral nerve lies deep to the

Fascia lata and iliaca

Femoral nerve lies superior to

Iliopsoas muscle

With a femoral nerve block you do not have to use a low freq transducer b/c the vessels are

Shallow