In this randomized, double-blind study, we have compared the ability of 5% liposome-encapsulated tetracaine (amethocaine) (LET) vs 5% eutectic mixture of local anaesthetics (EMLA) to produce local anaesthesia of intact skin in 40 healthy volunteers. Volunteers had both preparations applied to their forearms under an occlusive dressing for 1 h. Superficial anaesthesia was measured by a total of ...

A RECENT report from Scandinavia (Dhuner et al., 1956) describes a clinical trial of Carbocaine in which 652 cases were injected with results which the authors describe as raising " expectations that Carbocaine may prove to be of great value as a local anaesthetic drug." It was found that, when no adrenaline was used, anaesthesia lasted longer with Carbocaine than with lignocaine (Xylocaine), f...

Fifty-one patients with subcutaneous rupture of the tendo calcanei Achillis were consecutively operated on with simple end-to-end suture using Bunnell's technique. The operation was performed under local anaesthesia. All patients were seen at follow-up four months after the operation. The complication rate was low compared to the ones reported in the current literature. It is concluded that ope...

We surveyed the current practice of local anaesthesia for routine ocular surgery by consultant anaesthetists in the Wessex region using a postal questionnaire. Most consultants were in agreement concerning the type and technique of block, and monitoring to be used during local anaesthesia for ocular surgery. The issue of teaching for trainee anaesthetists produced a varied response. We found th...

a quick operation. Those who have used the syringe and one of the novocain preparations for local anaesthesia know how patients dread the ' poke\ Indeed the operation of securing anaesthesia is more painful than the actual extraction or the incision. This JS understandable because the tissues are inflamed a" round and the slightest touch, and much more a jabis exquisitely painful. Patients woul...

IntroductionThis study aims to compare Lichenstein's repair performed under regional anaesthesia and local anaesthesia. MethodsThis prospective included two groups of 31 patients each with an uncomplicated inguinal hernia from surgical units KMC affiliated hospitals. All underwent tension-free either spinal (group 1) or 2). Results both were compiled analysed. ResultsMean age was 50.45 (SD 16.4...

In the earlier years of the operation of thoracoplasty speed was the primary aim of the surgeon in order that shock and poisoning by toxic general anaesthetics should be kept to a minimum. Presently there was a revolt against this outlook and the operation came to be conducted in more leisurely fashion under local anaesthesia. This change made accurate dissection possible and produced a genuine...

Preoperative care includes a clinical examination before invasive or non-invasive interventions for anaesthesia/analgesia and is the responsibility of the anaesthesiologists. Methemoglobinemia should be considered, as well as cardiac, pulmonary, and peripheral circulatory disorders in patients with central cyanosis and low oxygen saturation despite treatment with sufficient oxygen during anaest...

A review of the efficacy and outcome of fifteen fetoscopic laser ablations under local anaesthesia for twin to twin transfusion syndrome (TTTS) in the National Maternity Hospital Dublin was undertaken. The mean gestation at laser was 19.7 weeks (range 16-25 weeks) with a mean gestation at delivery of 29.1 weeks (range 20-35 weeks). The overall liveborn birth rate was 79% (22 infants) and one pr...