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Fascia iliaca compartment block: A narrative review.
1Professor, Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Indian Journal of Anaesthesia
|February 16, 2026
Summary
The fascia iliaca compartment block (FICB) is a safe and effective regional anesthesia for lower limb surgeries. Ultrasound guidance, especially the suprainguinal approach, offers superior nerve coverage and pain relief compared to traditional methods.
Area of Science:
- Regional Anesthesia
- Anatomy
- Pain Management
Background:
- Fascia iliaca compartment block (FICB) targets lumbar plexus branches for lower limb procedures.
- Ultrasound-guided FICB offers improved nerve coverage over landmark-based techniques.
Purpose of the Study:
- Review anatomical considerations for ultrasound-guided FICB.
- Detail indications, contraindications, and approaches for ultrasound-guided FICB.
Main Methods:
- Narrative review of anatomical considerations.
- Detailed description of infrainguinal and suprainguinal ultrasound-guided FICB approaches.
Main Results:
- Suprainguinal approach yields more extensive local anesthetic spread and obturator nerve blockade.
- Suprainguinal approach leads to greater pain relief and reduced opioid consumption.
- Ultrasound-guided FICB requires a large local anesthetic volume for efficacy.
Conclusions:
- Ultrasound-guided FICB is a superficial, safe, and easily learned block.
- The suprainguinal approach is recommended for enhanced outcomes.
- FICB demonstrates a low complication rate.
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