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While administering a FNB using nerve stimulation and ultrasound the practitioner sees what looks like the femoral nerve on the ultrasound, what is the recommended step to take next?

User Monu Kumar
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Final Answer:

When administering a Femoral Nerve Block (FNB) using nerve stimulation and ultrasound and identifying what appears to be the femoral nerve on ultrasound, the next recommended step is to confirm the correct needle placement using nerve stimulation.

This involves sending a low electrical current through the needle to elicit a motor response, typically a quadriceps muscle twitch. This confirmation ensures accurate placement before injecting the anesthetic solution.

Step-by-step explanation:

When performing a Femoral Nerve Block (FNB) utilizing both nerve stimulation and ultrasound guidance, identifying the femoral nerve on ultrasound is a positive step. However, to ensure precise needle placement and accurate localization of the nerve, the practitioner should follow up with nerve stimulation.

Nerve stimulation involves passing a low electrical current through the needle to stimulate the nerve and induce a motor response, such as a quadriceps muscle twitch. This step confirms that the needle tip is in close proximity to the target nerve before the injection of the anesthetic solution, reducing the risk of complications and ensuring effective anesthesia.

This sequence of ultrasound visualization followed by nerve stimulation to confirm accurate needle placement is a recommended practice in nerve blocks to enhance the precision and safety of the procedure.

User Akhi Akl
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