Supra-Inguinal Fascia Iliaca (SIFI) Block - the SUPRA-INGUINAL approach

[@pawannanjangud4879]

What is the indication for catheter , do you give intermittent blouses? Any problem with mobilization ?

[@KiJinnChin]

if you want the flexibility to extend the block. You can run infusion or give int boluses as you wish. Quad weakness depends somewhat on LA conc - more dilute, less so. There can be a sweet spot for analgesia and mobility, but hard to give a one size fits all recipe in medicine.

[@joelchan7477]

2 questions 1) Must you visualise the lifting of the DCIA? 2) Is the fascia iliaca always directly below the DCIA - hence forth would positioning the needle just below the DCIA be another appropriate method?

[@KiJinnChin]

I consider the DCIA more of a structure to be avoided rather than a surrogate endpoint target. It also usually sits superficial to transversus abdominis, so it's separated from fascia iliaca by this muscle. As such, I don't expect to see lifting of the artery, nor am I looking for it. I just want to avoid it as I insert the needle, and then I want to see spread under fascia iliaca pushing the muscle down. Hope that helps!