November 2018

Laceration Near Joints

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Victor U. -

Why not initially infuse 20ml of lignocaine and then 130ml saline...?

Jess Mason -

I like that idea. Infusing anesthetic into a joint is a bit controversial as to whether or not there is potential harm to the chondrocytes, and we will be covering that on an upcoming EMRAP.

Victor U. -

Thanks for your reply. One of my senior colleagues in Australia taught me to reduce dislocated shoulders in frail elderly patients by injecting 5ml lignocaine and 5mg morphine directly into the joint, avoiding sedation. It works brilliantly, although I never did ask if it posed any risk to chondrocytes. Will need to research it.

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