Implementing a Perioperative Ultrasound Guided Regional Anaesthesia Block Service in a District General Hospital

Background: Regional anaesthesia techniques, both as a primary anaesthetic or as an adjunct to general anaesthesia offer potential significant benefits in perioperative care: improved wound healing and localised blood flow, decreased stress response, improved patient outcomes, reduced hospital length of stay and reduced opioid use.This study evaluated the feasibility of implementing an ultrasound-guided regional anaesthesia (USGRA) service in a district general hospital without a dedicated block room.Methods: A dedicated team of anaesthetists performed ultrasound-guided nerve blocks over a 70-day period across multiple specialties.We tracked block types, intraoperative anaesthesia requirements, complications, and patient satisfaction scores.Results: 47 nerve blocks were performed (Orthopaedics: 22, Plastics: 6, General Surgery: 1, Pain Management: 18).14/19 patients received target-controlled infusion sedation or remained awake.No intraoperative complications, pain, or strong opioid use were observed.100% of follow-up patients (11/11) reported maximum satisfaction.Conclusions: Regional anaesthesia when implemented as part of a 'Block Service' improves patient outcomes and satisfaction.This study also showed that an USGRA service can be safely implemented without a dedicated block room, with potential for improving surgical workflow and patient experience.