Summary
This article explains some of the background to the new national standardised operating procedure to prevent wrong side block, developed by a working party of the Safe Anaesthesia Liaison Group (SALG). However, the document may seem a little unusual, since it is not presented as a barrier to wrong side block. Rather, its main aim is to standardise practice across hospitals so that any future events can be analysed against a common framework; hence the designation as a standardised operating procedure and not a guideline. As a result the incidence of wrong side blocks will diminish, but not be eliminated. ‘Prep, stop, block’ describes the process to be followed; enhancing the message of ‘stop before you block’ that the stop moment should occur just before needle insertion.
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