{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:24Z","timestamp":1786649604053,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Fascia iliaca compartment block (FICB) is a plane block, targeting the three main branches of the lumbar plexus, including the femoral nerve, lateral femoral cutaneous nerve, and obturator nerve. It is a useful regional anaesthesia technique for lower limb procedures, particularly for hip and knee surgeries. While both traditional landmark-based and newer ultrasound-guided approaches exist, the latter offers more reliable coverage of the target nerves. Through this narrative review, we wish to bring forth the anatomical considerations that need to be kept in mind, as well as the indications and contraindications of administering an ultrasound-guided FICB. The review describes in detail the two main approaches of ultrasound-guided FICB, including the infrainguinal and suprainguinal approaches, with emphasis on the fact that the suprainguinal approach provides a more extensive spread of local anaesthetic (LA), a more reliable blockade of the obturator nerve, greater pain relief, and reduced opioid consumption. Further, being a plane block, a large volume of LA needs to be administered for adequate effect. To conclude, ultrasound-guided FICB is a superficial, safe, and easy-to-learn block with a low complication rate.<\/jats:p>","DOI":"10.4103\/ija.ija_1068_25","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T10:00:18Z","timestamp":1767348018000},"page":"200-204","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Fascia iliaca compartment block: A narrative review"],"prefix":"10.4103","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2688-5084","authenticated-orcid":false,"given":"Nidhi","family":"Bhatia","sequence":"first","affiliation":[{"name":"Professor, Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"R1-20260102","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1136\/rapm-2020-102305","article-title":"Mechanisms of action of fascial plane blocks: A narrative review","volume":"46","author":"Chin","year":"2021","journal-title":"Reg Anesth Pain Med"},{"key":"R2-20260102","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1213\/00000539-198912000-00003","article-title":"Comparison of the fascia iliaca compartment block with the 3-in-1 block in children","volume":"69","author":"Dalens","year":"1989","journal-title":"Anesth Analg"},{"key":"R3-20260102","first-page":"131","article-title":"History of the fascia iliaca compartment block","volume":"70","author":"Vermeylen","year":"2019","journal-title":"Acta Anaesth Belg"},{"key":"R4-20260102","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1111\/j.1365-2044.2011.06628.x","article-title":"Ultrasound-guided supra-inguinal fascia iliaca block: A cadaveric evaluation of a novel approach","volume":"66","author":"Hebbard","year":"2011","journal-title":"Anaesthesia"},{"key":"R5-20260102","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1136\/rapm-00115550-200811000-00004","article-title":"Ultrasound-guided fascia iliaca block: A comparison with the loss-of-resistance technique","volume":"33","author":"Dolan","year":"2008","journal-title":"Reg Anesth Pain Med"},{"key":"R6-20260102","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.bjae.2019.03.001","article-title":"Fascia iliaca compartment block","volume":"19","author":"O\u2019Reilly","year":"2019","journal-title":"BJA Educ"},{"key":"R7-20260102","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.bpa.2019.03.004","article-title":"Fascia iliaca compartment blocks: Different techniques and review of the literature","volume":"33","author":"Desmet","year":"2019","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"R8-20260102","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.gerinurse.2019.07.007","article-title":"Ultrasound-guided fascia iliaca blocks in the emergency department","volume":"40","author":"Falyar","year":"2019","journal-title":"Geriatr Nurs"},{"key":"R9-20260102","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.abd.2019.09.025","article-title":"Safety of local anaesthetics","volume":"95","author":"Cherobin","year":"2020","journal-title":"An Bras Dermatol"},{"key":"R10-20260102","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1007\/s00540-018-2558-9","article-title":"The effect of the volume of supra-inguinal injected solution on the spread of the injectate under the fascia iliaca: A preliminary study","volume":"32","author":"Vermeylen","year":"2018","journal-title":"J Anesth"},{"key":"R11-20260102","doi-asserted-by":"crossref","first-page":"538","DOI":"10.18231\/j.ijca.2024.097","article-title":"Evaluation of local anaesthetic with adjuvants for postoperative analgesia through ultrasound-guided Fascia Iliaca compartment block in hip procedures","volume":"11","author":"Kumar","year":"2024","journal-title":"Indian J Clin Anaesth"},{"key":"R12-20260102","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4172\/2155-6148.1000121","article-title":"Role of clonidine in fascia iliaca compartment block for preoperative analgesia in post hip fracture patients: A comparative study","volume":"2","author":"Tomar","year":"2011","journal-title":"J Anesth Clin Res"},{"key":"R13-20260102","first-page":"1944","article-title":"Ultrasound-guided continuous fascia iliaca compartment block for pre-operative pain control in very elderly patients with hip fracture: A randomized controlled trial","volume":"16","author":"Ma","year":"2018","journal-title":"Exp Ther Med"},{"key":"R14-20260102","doi-asserted-by":"crossref","first-page":"335","DOI":"10.4103\/ija.ija_1095_24","article-title":"Continuous peripheral nerve block in patients with proximal femur fracture: A randomised comparison of three techniques","volume":"69","author":"Bhatia","year":"2025","journal-title":"Indian J Anaesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1068_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:51Z","timestamp":1786647351000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1068_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_1068_25","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-08-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}