Bleb Anesthesia

00:06 Now we're ready to demonstrate what's called bleb anesthesia.

00:10 A simple way of providing a local anesthetic to a site where you intend to perform a skin biopsy or puncture or some small laceration.

00:18 However, in this technique, we're not going to follow a line.

00:22 We're going to make a bleb directly underneath the tissue that we want to provide the anesthesia for.

00:28 Much like a TB syringe providing an inoculation under a lesion.

00:32 I'm going to insert my syringe and needle under the actual lesion and provide a bleb.

00:39 And that bleb will create a circumferential area around here that provides about typically a dime size wheel.

00:46 Once you've done this, you'll be able to wait the commensurate amount of time based on your anesthetic choice typically between 30 seconds and 5 minutes.

00:55 And then you'll be able to perform your procedure inside this area for this lesion.

01:00 Now, remember that when we're doing this we want to make sure the patient's not feeling anything, so you may give anesthetic, and say, "Okay, can you feel anything?" "Is it sharp?" "Do you feel any pain poking?" Always make sure you've checked your field.

01:11 Okay, so go ahead, and practice that now.