Come now Rowley the 'best' way to anaesthetise for a distal radius problem.
What about an axillary block? No, its not difficult and complications are
rare. Using a high tourniquet, the right volume and concentration (eg 30mls
of 1% plain prilocaine) results are very good. Its a single small injection
well away from the injured area and works a treat. I will concede that it is
possible to miss the musculo-cutaneous nerve as it leaves the axillary sheath
high up but the tourniquet does minimise this problem.
Cheers
Graham
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