Painless Physiotherapy Application with Femoral Nerve Catheter in A Underwent Judet Quadricepsplasty

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]