Methods. We enrolled 19 ASA I–II patients undergoing hand or forearm surgery. The four nerves of the axillary plexus were identified with ultrasound guidance. Lidocaine 1.5% with epinephrine 1:200 000 was loaded into a syringe driver. A 22 G needle was inserted in the long axis to each nerve and injection commenced using the bolus function (600 ml h). The needle was repositioned until the nerve...

objectives: our objective was to design an rct in order to assess the effects of adding a brief skill-based psychoeducation (pe) to routine needle and syringe programs to reduce injection and high risk sexual behaviors associated with human immunodeficiency virus (hiv) infection among referrals of drop-in centers (dics). method/design: this was a randomized control trial with the primary hypoth...

OBJECTIVE The present randomized controlled trial compared arthrocentesis of the effusive knee followed by corticosteroid injection performed by the conventional anatomic landmark palpation-guided technique to the same procedure performed with ultrasound (US) needle guidance. METHODS Sixty-four palpably effusive knees were randomized to (i) palpation-guided arthrocentesis with a conventional ...

BACKGROUND Many people who inject drugs (PWID) use syringes with detachable needles, which have high dead space (HDS). Contaminated HDS blood may substantially contribute to the transmission of HIV, hepatitis C (HCV), and other blood-borne viruses within this population. Newly designed low dead space (LDS) syringe-needle combinations seek to reduce blood-borne virus transmission among PWID. We ...

We introduce a 15 cm, 26-gauge spinal needle (Steriseal Ltd, Redditch) through a standard Tuohy needle (9·6 cm, 16-gauge) which has its tip in the epidural space. Once the dura has been punctured the spinal needle is only really held in place by the dura. It is therefore quite difficult to attach the syringe of local anaesthetic and then inject without inadvertently placing the tip of the spina...

The importance of post-mortem examination is generally accepted, not only for instruction and research, but also for raising the standard of medical practice. Unfortunately, there are many obstacles. In hospital, necropsies are limited by the natural reluctance of many relatives to give the necessary permission. In nursing homes and private houses, they are seldom performed because of the addit...

Abstract Blood sampling typically involves puncturing a superficial vein with needle and then creating vacuum (e. g., syringe) to transfer the blood from venous system collection container. In some cases, walls collapse due excessive generated. this work, device is presented that prevents can be combined any available on market. The mechanism of preventing based tubular segment interconnected b...

OBJECTIVES The British Columbia Centre for Disease Control (BCCDC) tracks the distribution of all harm reduction products subsidized by the BC government, including needles and syringes, sterile water vials, alcohol swabs, condoms, and lubricant. This study measures the distribution of harm reduction products in BC, identifies regional variation in distribution, and estimates the supply/demand ...

Needle exchange programs chase political as well as epidemiological dragons, carrying within them both implicit moral and political goals. In the exchange model of syringe distribution, injection drug users (IDUs) must provide used needles in order to receive new needles. Distribution and retrieval are co-existent in the exchange model. Likewise, limitations on how many needles can be received ...