Ergonomics

The concept of body ergonomics in regional anesthesia refers to strategies used to optimize performance during a procedure.  The goal of using good ergonomics is to reduce or eliminate extraneous factors, such a muscular fatigue, allowing the provider to focus on the task.  Below are a few guidelines to consider:

  • Raise the bed height to a position that is comfortable.
  • Avoid bending over or twisting if possible.
  •  Arrange the U/S system so there is a direct line of visualization.
  • Support the scanning arm; this will help maintain a consistent image.
  • Reduce the amount of shoulder abduction with the scanning arm.

 If possible, have someone assist during the block.  Ultrasound is most effective when visualization of the needle is continuous throughout the procedure.  An assistant, who can make adjustments to the ultrasound image and inject the local anesthetic, will not only save time, but also reduce the potential for complications.

What Not to Do

Look at the above image. What are several things the anesthetist could do to improve the success rate of this block?


References

    Legal Disclaimer

  • Provision of education and research information only - always seek professional advice

    The VAULT website was developed by Christian R. Falyar, CRNA, DNAP, to share information related to ultrasound-guided regional anesthesia with other anesthesia providers. It is not intended to be a substitute for accredited regional anesthesia training. Christian R. Falyar CRNA, DNAP does not accept any liability for any injury, loss or damage that results from the use of or reliance on information contained in this website.
  • Quality of information - always check the information

    Christian R. Falyar, CRNA, DNAP has made every effort to ensure the quality of the information presented on this website is current and checks it regularly. However, before relying on the material on this website, users should carefully evaluate its accuracy, currency, completeness and relevance to their practice. Christian R. Falyar, CRNA, DNAP, cannot guarantee and assumes no legal liability or responsibility for the accuracy, currency or completeness of the information.
  • Links to external websites

    This website may contain links to other websites which are external to the VAULT website. Christian R. Falyar, CRNA, DNAP takes reasonable care in selecting linking websites. It is the responsibility of the user to make their own decisions about the accuracy, currency, reliability and correctness of information contained in linked external websites. Linkage to external websites should not be taken to be an endorsement or a recommendation of any third party products or services offered by virtue of any information, material or content linked from or to this website. Users of links provided by this website are responsible for being aware of which organization is hosting the website they visit. Views or recommendations provided in linked websites do not necessarily reflect those of Christian R. Falyar, CRNA, DNAP.