----- Original Message -----
From: "Stephen Hughes"
> As for bier's blocks, I have never seen one because of the mythology
surrounding them and the lack of prilocaine. Would you believe that?
You could always do a few weeks here in Hampstead, Stephen, and we'll show
you a few Bier's blocks. You'll have to drop the 'Arlow accent however
(sorry, I know you've been perfecting it over the last four years).
Steve Meek wrote:
> Now at Frenchay using prilocaine 1% diluted down to 40mls (0.5% without
problems)
Yes, I dilute 20mls of 1% with 20mls of water to produce 40mls of 0.5%. I
presume saline could be used instead.
> I am sure prilocaine is safer than lignocaine and agree with Ray that it
is then a safe SHO procedure: staring patients, 2 doctors being present etc
is unnecessary
I agree but haven't quite delegated this to SHOs yet. However all of ours
are first years who are now less experienced than ever! I personally don't
starve or monitor these patients, and I don't use second lines or second
doctors either. Am not convinced I need to as I haven't seen any problems
after 12 years' use. Does anyone know, is there any risk of significant
morbidity using prilocaine? And I've never needed supplemental analgesia
Ray!
Adrian Fogarty
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