Department of Anaesthetics, Nottingham City Hospital, Nottingham NG5 1PB, UK
E-mail: john{at}jbowley.my-bulldog.com
I share the opinion of Dr Yentis (April 2005 JRSM1) on local anaesthesia for venous cannulation. A venerable consultant teacher of mine, when criticized for using local before siting any intravenous device because the local hurts anyway, used to respond with the following offer: I will put up a drip on myself using my technique (flourishing a 2 mL syringe with 0.5 mL lidocaine and a 27G needle), if you will put up a drip on yourself using your technique (flourishing a 14G cannula complete with its needle/introducer). He assured me nobody had ever taken him up on his offer.
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