Prehospital Ultrasound-Guided Pediatric Fascia Iliaca Block.

Area of Science:

• Emergency Medicine
• Pediatric Anesthesia
• Regional Anesthesia

Background:

• The fascia iliaca block (FIB) is recognized for its efficacy in providing regional anesthesia for femur fractures.
• Previous prehospital FIB applications in children have primarily utilized landmark-based techniques.
• Ultrasound guidance has become increasingly integral to regional anesthesia procedures.

Observation:

• A 7-year-old girl sustained a femur fracture requiring prehospital pain management.
• A prehospital fascia iliaca block was administered to the patient.
• Ultrasound guidance was employed for the precise execution of the FIB.

Findings:

• The ultrasound-guided fascia iliaca block was successfully performed in the prehospital setting.
• The procedure provided effective regional anesthesia for the pediatric patient with a femur fracture.
• This represents a novel application of ultrasound-guided FIB in a prehospital pediatric case.

Implications:

• Ultrasound-guided FIB is a feasible and effective prehospital anesthesia option for pediatric femur fractures.
• This technique may improve pain management and patient outcomes in pediatric trauma care.
• Further research into prehospital ultrasound-guided regional anesthesia in children is warranted.