Management (Performing the block)

As with all regional techniques: Consent should be obtained, resuscitation / emergency (e.g. Intralipid) equipment should be available, intravenous access secured, standard monitoring applied (including three lead ECG, blood pressure and oxygen saturations) and asepsis maintained including the use of a dedicated single-use sterile transducer cover covering the probe and cable.10

A ‘prep, stop, block’ safety check should be performed prior to starting the block to prevent wrong site injection.11

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