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

Alexander M. Deleon*, Alexander G. Samworth, Bashar F. Kazanji

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Article number1541827
JournalCase Reports in Anesthesiology
Volume2022
DOIs
StatePublished - 2022

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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