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

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-side...

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Detalles Bibliográficos
Autores principales: DeLeon, Alexander M., Samworth, Alexander G., Kazanji, Bashar F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9217577/
https://www.ncbi.nlm.nih.gov/pubmed/35757103
http://dx.doi.org/10.1155/2022/1541827
Descripción
Sumario: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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