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.