The orthopaedic surgeons I work with all use intra-articular bupivacaine (+/- morphine or magnesium) after their knee arthroscopies. This usually works well, and I give no opioid, …

Recently, I had an interesting discussion with an emergency medicine trainee. She does not place local anaesthesia prior to IV cannulation for the following reasons: it causes mo …

We have just added Intralipid (10% lipid emulsion) to our resuscitation trolley at my maternity hospital for use in the resuscitation of local anaesthetic toxicity. We were mainly …

I know what makes heavy (hyperbaric) bupivacaine heavy, the 80 mg/mL of glucose that is added - and I know why the glucose is added, causing the local anaesthetic to 'fall with gra …

I know this debate continues: there are some centers where all carotid endarterectomies are performed under blocks or local, and others where these are all general anesthesia cases …