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

Alexander M DeLeonAlexander G SamworthBashar F Kazanji
Published in: Case reports in anesthesiology (2022)
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.
Keyphrases
  • peripheral nerve
  • high frequency
  • transcranial magnetic stimulation
  • systematic review
  • clinical practice