AHRQ WebM&M: Morbidity and Mortality Rounds on the Web ► Raise the Bar

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AHRQ WebM&M: Morbidity and Mortality Rounds on the Web

Raise the Bar

In the preoperative area, a man scheduled for excision of a groin lipoma received regional anesthesia (right iliac block) and was taken to the operating room. There, without alerting anyone, the patient attempted to rise to use the restroom, but—because his leg was numb—fell and hit his head. He reported acute neck pain and was transferred to the local emergency department.
Commentary by James Stotts, RN, MS, CNS, and Audrey Lyndon, PhD, RNC