I tried this new trick instead of the traditional "ring block" on the finger. I went with 27G needle and infiltrated about 2mL of 2% lidocaine subcutaneously. 2mL is still is somewhat substantial volume for a small space, so I spread it around slightly by angling the needle. The result was a fantastic digital block. I need to try it out more but it looks like a winner to me.
Here is a good link discussing the technique.
http://academiclifeinem.com/trick-of-the-trade-single-digital-block/
-Pil
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