55y/o male, r’t tibia fx s/p ORIF, for removal of implants (interlocking nail). He received femoral nerve block and sciatic nerve block for operation.
下針處:Femoral crease, femoral artery 外側1.5公分
Quadriceps contraction patella dancing were noted.
Injection pain was noted during first 2ml injection, and the needle was pulled back 1mm, then re-inject 2ml.
Local anesthetics: 2% Lidocaine 18ml 0.5% Marcaine 6ml