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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

404
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
404
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

149
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
149

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Related Experiment Video

Updated: Jun 27, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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NRFit connectors in regional anaesthesia: avoiding medication errors.

J Feito Sancho1

  • 1Departamento de Medicina, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.

Revista Espanola De Anestesiologia Y Reanimacion
|May 3, 2024
PubMed
Summary

New NRFit® connections for regional anesthesia prevent dangerous medication errors, enhancing patient safety. This innovation significantly reduces the risk of wrong-route administration, a major cause of harm in anesthesiology.

Keywords:
Anestesia regionalAnestésicos localesBloqueos neuroaxialesErrores de medicaciónLocal anesthesiaMedical errorsNRFitNeuroaxial blockagesPatient’s safetyRegional anesthesiaSeguridad

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Area of Science:

  • Anesthesiology
  • Patient Safety
  • Medical Device Technology

Background:

  • Anesthesiology leads in patient safety innovations, achieving significant mortality reduction.
  • Wrong-route medication errors in regional anesthesia are linked to high morbidity and mortality.
  • The need for enhanced safety measures in regional anesthesia is critical.

Purpose of the Study:

  • To review the implementation and impact of NRFit® connections in regional anesthesia.
  • To evaluate the effectiveness of NRFit® connectors in preventing wrong-route medication errors.
  • To assess the two-year experience with NRFit® technology at a specific hospital and through literature review.

Main Methods:

  • Review of a two-year clinical experience at Hospital Universitario Príncipe de Asturias.
  • Comprehensive literature search using PubMed, UpToDate, and ClinicalKey databases.
  • Analysis of the impact of NRFit® connectors on medication error rates in regional anesthesia.

Main Results:

  • NRFit® connections are specifically designed for neuraxial and regional anesthesia applications.
  • Implementation of NRFit® connectors effectively prevents wrong-route medication errors.
  • The technology contributes to improved patient safety in regional anesthesia procedures.

Conclusions:

  • NRFit® connectors represent a significant advancement in patient safety for regional anesthesia.
  • The adoption of standardized connectors like NRFit® is crucial for reducing medication errors.
  • This technology supports anesthesiology's pioneering role in patient security.