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Soft tissue corticosteroid injection

…duration of effect. Lidocaine 10 mg/mL without adrenaline , 2–5 mL. Needles: 21–25 G, 40 mm for subacromial and trochanteric injection; 25–27…

Joint aspiration

…with a large effusion, 5–10 mL for smaller joints. Local anaesthesia of the skin and subcutis where needed, lidocaine 10 mg/mL. Sample tubes:…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…and equipment Chlorhexidine in alcohol or an iodine solution. Lidocaine 10 mg/mL without adrenaline for the block (adrenaline is safe in fingers and toes…

Wound suturing

…than lidocaine A common alternative Bupivacaine 2.5 mg/mL Slow Long When prolonged analgesia is wanted The maximum dose of lidocaine is given in…

Arterial line

…preparation with chlorhexidine in alcohol 5 mg/mL, sterile drape, sterile gloves, mask and cap. Lidocaine 10 mg/mL for local anaesthesia in the awake…

Bone marrow aspiration and biopsy

…medication list. Chlorhexidine in alcohol, sterile gloves, fenestrated drape, sterile gauze. Local anaesthetic: lidocaine 10 mg/mL, usually 5–10 mL, with a longer needle…

Central venous catheter

…probe, a sterile probe cover and sterile gel. Chlorhexidine in alcohol 5 mg/mL for skin disinfection. Allow it to air dry completely before puncture…

Lumbar puncture

…too soft to pass through the skin on its own. Local anaesthesia: lidocaine 10 mg/mL, a millilitre or two intracutaneously and along the needle…

Peripheral venous cannula and intraosseous access

…enough. Lidocaine 10 mg/mL to anaesthetise the marrow cavity in a conscious patient. Fixation material for the intraosseous needle. Procedure Peripheral venous cannula 1…

Pleural aspiration and chest drain

…mask, fenestrated drape. Chlorhexidine in alcohol 5 mg/mL. Local anaesthesia: lidocaine 10 mg/mL, 10–20 mL, a 25 G needle for the skin…

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