----- Original Message -----
From: "Andrew Webster"
> It doesn't take long to consent the patient draw up prilocaine. 10 mins to
> wait for sufficent anaesthesia. Manipulate. Further 10 minutes before cuff
> can be deflated. Whizz round to xray. Due to superb anaesthetic....often
> no need to manipulate again.
We don't formally consent as it is an awake procedure. Also try deflating at
15 minutes from injection; there are no problems. And I agree, the only ones
that I've seen that needed remanipulating were done in theatre with imaging
and k-wires! I see these "failures" less now, as I can usually spot the
difficult ones before I attempt them and so send them straight to orthos in
the first place.
Adrian Fogarty
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