Clinical Procedure
 
Aliases:
Ilioinguinal nerve block
ilioinguinal block

Topic aliases are alternate phrasings for a particular topic.


If being used for orchidopexy, supplemental infiltration of the scrotum will be required.
bja.oxfordjournals.org/co...

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Transient femoral nerve block occurs in 4-6% of patients undergoing inguinal hernia repair. www.ncbi.nlm.nih.gov/pubm...

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Ensure IV access is obtained prior to injecting local anesthetic agents in the event you need to manage any complications of this injection.

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Ensure ECG is attached to the patient to monitor for local anesthetic induced ECG changes or arrhythmias.

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Good overview of the procedure at the NYSORA website. www.nysora.com/techniques...

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Anatomical technique:

1cm superomedial to ASIS
1/3 of volume after 2nd pop
Pull back to skin
1/3 of volume after 1st pop
1/3 of volume sub cutaneously along the incision site.

At least 3ml local anaesthetic at each level
Pick the highest concentration you can use down to volume no smaller than 10ml
Eg in a 20kg child you would use 10ml 0.5% ropivicaine;
in a 10kg child 10 ml 0.25% ropivicaine

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Ultrasound guided Ilioinguinal Block.

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