steering 25g needles

[DoYouEvenLiftBro]

Lumbar skin wheal with bicarb, 25g, 3.5in can usually hit all 3 unilateral mbbs from that one site
If issues steering it, you can try pulling on skin, or over accentuating the curve of the needle when it’s in there as well
Agree with corkscrew, and just rotating 180 back and forth

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[Ducttape]

Put some alcohol in the refrigerator. Kill two birds with one stone. Problem solved.

not a good idea.

staff tend to drink it...

unless you are planning on killing your MAs. then go for it.

 

[RoloTomassi]

Downside of redirecting technique is 3x radiation

 

[DoYouEvenLiftBro]

Downside of redirecting technique is 3x radiation

Low dose and pulse still under 20 seconds total fluoro

Saves on overhead just 1 needle too

 

[ED50]

I use 30 gauge for all mbb with tiny skin wheel. 25g 1.5 in needle for esi,si etc to numb the track. I mostly use 25g for all my injections, but I'm interested in trying a 23g to see how it steers. I tried a few injections without local and the patients definitely jumped more with me so back to local.

 

[Ferrismonk]

I've found the pain/gauge scale flips below a 22g. So I don't use local for 22g/25g, but will for 20g/18g. Most everything I do is with a 25g.

Most of my patients jump a lot more from my room-temp betadine than they do for my needles.