One can also use an 18-gauge needle and twirl it like a drill to pierce
the nail and release the subungual hematoma.
The advantage of this drilling technique over a hot paper clip or
electric cautery device is that it's less threatening to patients.
Their eyes get pretty big seeing that red-hot device approach their
fingertip!
The disadvantage of this drilling technique is that it requires a bit
more pressure on the nail (= pain) than melting through the nail.
We usually try to talk them into the hot tip method first ("faster and
less painful"), but if they're squeamish about it, we use the 18-gauge
needle and drill through the nail.
John Fowler, MD in Izmir, Turkey
On 27.Kas.2004, at 23:28, Babak Allie wrote:
> Hi
> We Use "Medtronic's Solan" with disposable tip
> cautterets in Manchester Royal Infirmary. you can find
> it under Medtronic Ophthalmic products, in high
> temperature hot wire Cautterets section!
> Good luck.
> Babak Allie
> Clinical Fellow
> Emergency Medicine/ITU
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