OBJECTIVE To evaluate patient acceptability of submuscular implantation of a cardioverter defibrillator (ICD) under local anaesthesia with conscious sedation. DESIGN Retrospective review. Patient acceptability in the second half of the study was routinely assessed within 24 hours. SETTING Regional cardiac centre. PATIENTS 45 consecutive patients with either aborted sudden death or haemody...

The main purpose of all anaesthesia techniques is to produce the most possible painless operation, without stressing emotions for the patient. A complete safety is obtained with a local anaesthesia more than with a general anaesthesia. However, it is important to avoid any pain on injection if a local anaesthetic is used. Further advantages of regional anaesthesia for ophthalmic plastic procedu...

In the UK, stapes surgery is performed almost universally under general anaesthesia. In 1984 there was consensus that local anaesthesia should be the technique of choice in stapes surgery. Despite reports of successful use of local anaesthesia for middle ear surgery, this is still not widely accepted practice in the UK. We describe the senior author's technique for local anaesthetic stapes sur...

INTRODUCTION The use of Regional Anaesthesia and Nerve Blocks is becoming more popular and recognized as an effective means for providing anaesthesia for minor surgery. When used optimally, Regional Anaesthesia and local blocks can provide ideal operative conditions. Successful outcome of the technique depends on injection of the local anaesthetic solution as near the target nerve as possible. ...

BACKGROUND Urethral stricture is a common condition, and direct vision internal urethrotomy is prefered as the first treatment option by many urologists, for strictures shorter than 2 cm. This procedure is generally performed under general or spinal anaesthesia. OBJECTIVES To investigate the feasibility of adding local urethral anaesthesia to intravenous sedation and analgesia (sedoanalgesia)...

Midazolam is widely used as a sedative agent to produce amnesia in patients undergoing fibre-optic bronchoscopy. However, if a patient does not receive sufficient local anaesthesia, continuous severe cough and physical movement may interrupt the procedure and reduce its safety. We therefore examined whether codeine phosphate is a useful premedication for bronchoscopy. The study design was a ran...