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but the right arm was the one set to be operated on that day. With the fistulae immediately visible on both sides, the radiologist injected the local anesthetic into the left arm before the procedure. It wasn't until the patient questioned the injection that the radiologist realized that the local anesthetic had been injected in the incorrect side. He proceeded to do a local injection on the right, and the procedure continued as planned.
In the last year or two, we've seen an increase in the number of wrong-block procedures reported. They happen the same way most
other events do. It's all too common that the care team focuses on the procedure to be done and not on the block as a separate procedure. The dynamics for the block needed be the same as those in the OR, with site-marking and a robust time out before injection, just as you
