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Soft tissue corticosteroid injection

…pain relief is a diagnostic finding — and appears to reduce the risk of a post injection flare. Lidocaine 10 mg/mL without adrenaline is used…

Joint aspiration

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

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…an iodine solution. Lidocaine 10 mg/mL without adrenaline for the block (adrenaline is safe in fingers and toes according to modern data, but there…

Wound suturing

…Comment : : : : Lidocaine 10 mg/mL Rapid 1–2 hours The standard choice Lidocaine 10 mg/mL with adrenaline 5 µg/mL Rapid 2–6 hours…

Arterial line

…Anaesthetise the skin with a small amount of lidocaine without adrenaline (epinephrine). 3. Puncture 1–2 cm proximal to the wrist crease at an angle…

Bone marrow aspiration and biopsy

…Local anaesthetic: lidocaine 10 mg/mL, usually 5–10 mL, with a longer needle so that the periosteum can be infiltrated generously — it is the…

Central venous catheter

…sterile gown, sterile gloves and a large full body drape. Lidocaine 10 mg/mL for local anaesthesia, normal saline to flush all lumens, suture material…

Lumbar puncture

…Local anaesthesia: lidocaine 10 mg/mL, a millilitre or two intracutaneously and along the needle track, with a fine needle. A manometer with a three…

Peripheral venous cannula and intraosseous access

…or a 50 mL syringe with a three way tap — intraosseous flow requires pressure ; gravity is not enough. Lidocaine 10 mg/mL to anaesthetise the…

Pleural aspiration and chest drain

…at an INR above 1.5 and a platelet count below 50 × 10⁹/L before drain insertion, while diagnostic aspiration with a fine needle is…

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