Ultrasound capsules
Material
3) Material
Materials for the block:
Local anesthetic
Needle used to withdraw medication (18g)
Sterile NS (hydrodissection, space verification, dilution of local anesthetic)
Needle used for the block
Syringe (suggestion: 10mL for NS; 20mL for local anesthetic... adds a safety net.)
Sterility equipment:
Chlorhexidine stick
Sterile jelly (e.g. rectal examination gel, 2-3 sachets)
Sterile or large Tegaderm probe cover completely covering the probe
Sterile gloves
Compresses
- Safety equipment
Cardiac monitor (any block near vascular structure(s) OR block using >2/3 of the calculated toxic dose)
Ability to obtain a 20% lipid emulsion solution in STAT.
Needle -- Two-person technique
**a two-person technique maximizes operator microdexterity and overall technique safety
Block needle
(blunt)
Needle 22-25g
(sharp)
PL needle
(sharp)
* = Sharp needles slightly increase the risk of nerve damage in the event of a nerve puncture. However, they remain safe. What should definitely be avoided is intravenous injection.
Organization of the material
Below are three ways to organize nerve block supplies. I think the easiest way is to design the shelf and then set up the cart.
To give you an idea, the shelf was in place in 1 month... and the trolley in 2 years!
Hardware envelopes
Quick to pick up and everything is there!
Who checks the expiration of the equipment?
Who fills the envelopes?
Wasting material?
Drug not incorporated...
Shelf with the necessary material
Requires moving to the shelf.
Medications can also be there.
Who does the filling?
Nerve block trolley
You can ask for him to be brought to the bedside.
Includes all equipment and medications.
I believe this is the best solution.
You can hang a reminder guide on it.
You can combine it with other tasks (we combined it with stitches).
Who does the filling?
More complex to set up and if you don't have a trolley, more expensive.
Our stitch and nerve block cart...
Summary guide
On top of the trolley there is also a laminated summary guide with:
How to fill the cart.
How to calculate local anesthetic doses.
Essential reminders for each of the frequent blocks (forearm, femoral, tib post.).