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ANESTHESIA
ANESTHESIA
Adequate anesthesia is the first procedural step of surgery. Although lidocaine with epinephrine is safe, it is generally unnecessary as nail surgery is often performed with a tourniquet.
The injection site is cleansed and prepped. One technique utilized in nail surgery to attempt to reduce the bacterial burden, as well as soften the nail plate, is a dilute
chlorhexidine soak for 5 to 15 minutes. Distractive measures during injection such as concurrent vibration help limit the pain of injection.7 After anesthesia, nail surgery is performed under aseptic conditions using sterile gloves and drapes.
If surgery is to be performed on a finger, an arm board can be useful for both patient comfort and as a stable work surface for the surgeon.