Does anybody still use the method of applying a rubber tourniquet to mid forearm to allow less volume to be used for Bier's block? It might get you over the volume problem with Prilocaine, intrinsically much safer than Lignocaine.
Why not use haematoma block? Much easier and just as effective in the right hands. Allow at least 20 minutes for a mixture of 10ml 1% and 5ml 2% plain lignocaine to work and bob's your uncle despite what the "best BET" boys think. I never use anything else, it works well and the old ladies go home happy. But then I have practised it for 25 years.
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