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Local anaesthetic and arterial puncture
  1. Damian Bates,
  2. Peter Cutting
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones{at}

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Report by Damian Bates; Specialist RegistrarChecked by Peter CuttingSpecialist Registrar

Clinical scenario

A 67 year old man attends with increasing shortness of breath. He is known to have obstructive airways disease. You want to perform arterial puncture for blood gas measurement. He tells you that last time it was very painful. …

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