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In message <"/GUID:085139A84531D411911900805F35A6DC"@MHS>, [log in to unmask] writes >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? I used to, my boss still does. No evidence, but never had a bier's fail with or without extra torniquet round distal forearm. > 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 Occasionally, but consider it 2nd best: significant failure rate, but then only using 7-10mls 1% lignocaine, which was what I was always taught was the appropriate volume. Maybe I need another 15 years experience too! Dr G Ray Staff Grade A&E Sussex Reply to [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%