When Left Is Right and Right Is Wrong: A Case Report of Two Near-Miss Wrong-Sided Peripheral Nerve Blocks.

Q3 Medicine Case Reports in Anesthesiology Pub Date : 2022-06-15 eCollection Date: 2022-01-01 DOI:10.1155/2022/1541827
Alexander M DeLeon, Alexander G Samworth, Bashar F Kazanji
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Abstract

Wrong-sided peripheral nerve blocks occur with a surprisingly high frequency despite being described as a "never event." Timeout procedures are performed and documented, yet timeout omission is rarely cited as a contributing factor for wrong-sided blocks. We present two cases of near-miss wrong-sided peripheral nerve blocks and provide recommendations based on the current literature and the most common contributing factors.

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当左为右,右为错:两例险些脱险的错误侧周围神经阻滞。
尽管被描述为“从未发生过的事件”,但错误的周围神经阻滞发生的频率却高得惊人。超时过程被执行并记录下来,但是超时遗漏很少被认为是错误边块的一个促成因素。我们报告了两例差点漏诊的错误侧周围神经阻滞,并根据当前文献和最常见的影响因素提供建议。
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来源期刊
Case Reports in Anesthesiology
Case Reports in Anesthesiology Medicine-Anesthesiology and Pain Medicine
CiteScore
1.40
自引率
0.00%
发文量
19
审稿时长
12 weeks
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