• 1

    Palmer BV, Jones A: Ingrown toenails: the results of treatment. .Br J Surg 66::575. ,1979. .

  • 2

    Levy LA: Prevalence of chronic podiatric conditions in the US: National Health Survey 1990. .JAPMA 82::221. ,1992. .

  • 3

    Langford DT, Burke C, Robertson K: Risk factors in onychocryptosis. .Br J Surg 76::45. ,1989. .

  • 4

    Reijnen JAM, Goris RJA: Conservative treatment of ingrowing toenails. .Br J Surg 76::955. ,1989. .

  • 5

    Bossers AM, Jansen IMC, Eggink WF: Rational therapy for ingrown toenails: a prospective study. .Acta Orthop Belg 58::325. ,1992. .

  • 6

    Lloyd-Davies RW, Brill GC: The aetiology and out-patient management of ingrown toenails. .Br J Surg 50::592. ,1963. .

  • 7

    Burns SA, Ketai RS, Ketai NH: Onychocryptosis. .JAPA 67::780. ,1977. .

  • 8

    Hollingsworth SJ, Hoque K, Linnard D, et al: Delivery of low molecular weight heparin for DVT prophylaxis using a novel, needle-less injection device (J-Tip®). .Ann R Coll Surg Engl 82::428. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Keshtgar MRS, Barker SGE, Ells PJ: Needle-free vehicle for administration of radionuclide for sentinel-node biopsy. .Lancet 353::1410. ,1999. .

  • 10

    Cooper JA, Bromley LM, Baranowski AP, et al: Evaluation of a needle-free injection system for local anaesthesia prior to venous cannulation. .Anaesthesia 55::247. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Use of a Needleless Injection System for Digital Ring Block Anesthesia

Michael Dialynas The Academic Vascular Unit, Department of Surgery, The Royal Free and University College London Medical School, The Middlesex Hospital, London, England.

Search for other papers by Michael Dialynas in
Current site
Google Scholar
PubMed
Close
 FRCS
,
Simon J. Hollingsworth The Academic Vascular Unit, Department of Surgery, The Royal Free and University College London Medical School, The Middlesex Hospital, London, England.

Search for other papers by Simon J. Hollingsworth in
Current site
Google Scholar
PubMed
Close
 PhD
,
David Cooper The Academic Vascular Unit, Department of Surgery, The Royal Free and University College London Medical School, The Middlesex Hospital, London, England.

Search for other papers by David Cooper in
Current site
Google Scholar
PubMed
Close
 MRCS
, and
Stephen G. E. Barker The Academic Vascular Unit, Department of Surgery, The Royal Free and University College London Medical School, The Middlesex Hospital, London, England.

Search for other papers by Stephen G. E. Barker in
Current site
Google Scholar
PubMed
Close
 MS, FRCS

Digital ring block anesthesia, which is frequently used before surgery for ingrown toenails, is often extremely uncomfortable for patients and can be the most distressing aspect of the procedure. The authors used a novel needleless injection device to induce digital anesthesia before surgery and compared it in terms of patient discomfort and preference with use of a standard needle and syringe for injection in individuals undergoing simultaneous bilateral nail procedures. Use of the needleless device significantly reduced the pain associated with this procedure and was preferred over use of a standard needle and syringe by all individuals. Other potential advantages of a needleless injection system are discussed. (J Am Podiatr Med Assoc 93(1): 23-26, 2003)

Corresponding author: Stephen G. E. Barker, MS, FRCS, The Academic Vascular Unit, Department of Surgery, The Royal Free and University College London Medical School, The Middlesex Hospital, Mortimer Street, London W1N 8AA, England.
Save