Shortage of "Loss of Resistance" Syringes

The following clinical information is intended to support clinical colleagues in mitigating the impact of this disruption and to reduce wastage:
• Standard syringes can be used instead of LoR syringes if the latter are unavailable:

o While most anaesthetists have been trained to use low-resistance syringes, significant numbers of anaesthetists use standard syringes as their preferred equipment for epidural techniques.
o Where low-resistance syringes are available, but in short supply, their use should be prioritised towards less experienced practitioners, with senior and experienced anaesthetists adopting the use of ordinary syringes in the first instance.
o Clinicians may wish to trial use of normal syringes on an epidural simulator.

• For procedures where epidural kits are used to facilitate tunnelling of a catheter, clinicians should consider either using a kit without a LoR syringe or using alternative catheters and tunnelling devices such as a large gauge venous cannula, thus preserving the syringe-containing kits for epidural use.
• As per normal practice shared decision-making principles should be used to decide on the most appropriate form of anaesthesia and/or analgesia for each patient, taking the current situation into consideration.
• As for any change in medical equipment, it will be essential good practice, and informative, to monitor and audit any complications during this period.

Meetings & Courses

Looking for regional anaesthesia courses or events to attend?  Look at our Meetings Section which contains a list of forthcoming events, RA-UK Official courses are run by current or previous board members and part of the profit goes towards benefitting the society, RA-UK approved courses meet educational standards set by RA-UK, and we also advertise other courses internationaly for our members benefit. 

RA-UK You-Tube channel

rsz youtubeCheck out the RA-UK You-Tube channel - high quality video demonstrations of US guided blocks (videos available - Interscalene , Supraclavicular,Axillary,Radial, Median, Ulnar, Femoral,Proximal Sciatic, Popliteal, Tibial, Rectus, Ilioinguinal, TAP,and Epidural).


Pocket Guide to USGRA Book

41Ps9cZohTL. SX350 BO1204203200

This second edition of the handbook covers the principles of ultrasound-guided regional anaesthesia and the technique to perform all commonly used ultrasound-guided upper limb, lower limb, trunk and neuraxial blocks. It has been updated with all new images and sections on Quadratus Lumborum, Fascia Iliaca, Adductor Canal and Erector Spinae Block.

It is now available to order on Amazon at the bargain price of £22 inc p&p. 

Courses can order in bulk (>15 copies) by emailing support@ra-uk.org.