Watch the video as we navigate a challenging situation in the operating room: performing an interscalene block for shoulder surgery without an ultrasound machine. Our day began with the usual routine, but things took an unexpected turn when all our ultrasound devices were in use, and time was ticking. Watch as we switch gears and use a nerve stimulator for the block, guiding a fellow who's never done it without ultrasound. The tension mounts: can we safely and successfully administer the block with just a nerve stimulator? Experience the nerve-wracking 30 seconds it took to administer the block and the surprising results we discovered once we finally got our hands on an ultrasound machine.
We leave you with some thought-provoking questions:
1. Was it a violation of the standard of care to perform this block without ultrasound?
2. Would you consider a nerve stimulator block if an ultrasound wasn't available?
3. In an ultrasound-dominated era, is it still crucial to teach nerve stimulator techniques?

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