The Jedi Grip: a novel technique for administering local anaesthetic in ultrasound‐guided regional anaesthesia

Single‐handed ultrasound‐guided regional anaesthesia

“…We agree with Pappin and Christie [1] that ultrasound‐guidance (when properly used) is the gold standard for peripheral regional anaesthesia [2]. We have also developed a novel grip to allow needle insertion and local anaesthetic injection by a single operator during ultrasound‐guided regional anaesthesia.…”

Nerve block injection pressure monitoring

“…However, they do not mention succinylcholine, for which neuromuscular monitoring may also be useful, particularly in detecting patients with pseudocholinesterase abnormalities [2,3]. We report a case of prolonged apnoea with neuromuscular blockade monitoring following succinylcholine administration.…”

“…Single operator techniques have been highlighted in this journal in the past [2,3], such as the 'Jedi Hand Grip' where both the regional block needle and syringe are held in one hand and the ultrasound probe is held in the other. This method is supposed to have the advantage of providing tactile feedback about injection pressure, whilst allowing the operator the opportunity to concentrate on events displayed on the ultrasound screen.…”

Sensing injection pressure: the Jedi grip clarified

“…Retention of the tactile feedback was the primary reason for developing the ‘Jedi Grip’ . Despite Adams’ concerns, the technique can be performed by those with small hands (I wear size 7 sterile gloves) using a 20 ml syringe.…”