Painless Physiotherapy Application with Femoral Nerve Catheter in A Underwent Judet Quadricepsplasty
Bilge Aslan, Suha Ahmet Aktaş, Kevser Yamen Karaca
Regional nerve blocks provide superior analgesia over opioid based pain management regimens for
traumatic injuries such as femur fractures, Judet quadricepsplasty. An ultrasound-guided regional
nerve block is placed either as a single-shot injection or via a perineural catheter that is left in place.
Continuous peripheral nerve block is associated with some limitations, including infection, neurologic
injury, local anesthetic toxicity, and patient falls. [1,2]. Perineural catheters allow prolonged and
titratable delivery of local anesthetic directly targeted to the injured extremity, resulting in opioid
sparing while maintaining high-quality pain relief with improved alertness. A catheter-over-needle
kit, resembling a peripheral intravenous line, is now available. Recent studies also suggest excellent
analgesic outcomes with intermittent perineural bolusing of local anesthetic, thereby dispensing with
the need for complex and expensive infusion pumps. Our experience suggests that this is a promising
new technique for emergency pain management of acute extremity injuries. Preparation included sterile
gown, gloves, hat, mask, and drape. With the patient supine, the left femoral nerve is visualized just
distal to the inguinal ligament and approximately 1 to 2 cm cephalad to the inguinal crease [1].
