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Entonox -Use in Podiatric Practice

Discussion in 'General Issues and Discussion Forum' started by cjhopper1, Oct 29, 2010.

  1. cjhopper1

    cjhopper1 Active Member

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    Hi Guys,

    I am a second year Podiatry student at University of Northampton, wanting to look at the use of Enotonox analgesic gas in podiatry for my 3rd Yr dissertation.

    Previously as a paramedic and nurse I have used this during painful procedures, but it does not seem to be used very much in podiatry.

    I have checked with the Society and it can be used by UK Podiatrist who have had appropriate training (Normally provided by the ambulance service or St John Ambulance)

    If you are using or have used Entonox I would be happy to hear what you used it for and how effective you found it.

    Many thanks for your anticipated feedbackfeed
  2. What would you use it for that would replace local?

    With good technique local admin is pretty painless - so notsure of the point of adding another step in the process would help with. As most small prodedures will have local anyway -

    During the birth of our child it was explained to us that the gas does not stop pain but helps to manage the pain for the mother. So the choice between local or gas for a PNA then local for me.

    Just my thoughts - what do you believe it´s place in Podiatry would be ?
  3. cjhopper1

    cjhopper1 Active Member

    Hi Michael,

    Thanks for your reply. I would agree it does not remove the pain as such in the same way as LA. But if you had a patient that needed the sedative effect at the same time as administering the LA due to needle phobia, or perhaps the removal of a post op dressing that is very uncomfortable, using a blacks file to remove a spike. So feedback, I hope will suggest whether this is going to be something worthy of looking at in a dissertation or not! Just floating the idea at them moment :)
    Regards Colin
  4. David Smith

    David Smith Well-Known Member


    My thought is, Don't make it hard for yourself, give them what they want. Do something that the examiner will expect and not something outside of the box that may make his/her brain tilt and think negatively of the paper before they even get started on its content.

    just something to think about

    Regards Dave
  5. G Flanagan

    G Flanagan Active Member

    i think i posted on the last quoted thread, however i frequently use entonox for needle phobic patients whilst giving the la.

    If you want anything specific just pm me
  6. Hello

    Many years ago we used to use entonox at our training school in Johannesburg.

    It worked very well with nervous patients undergoing any procedure.

    BUT the students found out it is fun to inhale a bit of the entonox. With the result the entonox did not last beyond a day after it was delivered.
  7. cjhopper1

    cjhopper1 Active Member

    lol you need bigger cylinders of Entonox then lol, thanks for the reply.
  8. Griff

    Griff Moderator

    Entonox for removing a nail spike with a blacks file? In my day we just told them to man up ;)
  9. Had a small kit about 20 years ago and used it once on a patient with needle phobia, but to be honest, with sufficient coaching and some ethyl chlodride, even the most apprehensive patient can be guided through the procedure without it. Can't say the effects were that pleasant either.
  10. cjhopper1

    cjhopper1 Active Member

    Thank you Mark, all responses appreciated. It seems some people use it with needle phobic patients, others have used it for painful debridement or when LA is contra indicated. Most people do not seem to have heard about it at all. It also appears that those podiatrist treating acute sports injuries sometime use it.

  11. And some may use it to get through the day and students seem to have a fondness for it.
  12. No worries. Had an interesting experience about 15 years ago at the ROH Birmingham when a visiting French surgeon performed three procedures - derotational osteotomy of the femur, metatarsal osteotomy and knee arthroscopy and cartilage repair - without any anaesthesia whatsoever. Nor were any of the patients hypnotised. He simply coached the patients for three days prior to surgery to enable them to block the sensory input, essentially by concentrating on making spit. Strange but true! One of the female patients even took a telephone call from her husband during the procedure and was able to describe exactly what was happening to her at the time. The viewing gallery was a sea of incredulity with some of the surgeons and anaesthetists convinced that the patients were given an epidural preoperativly, but that was not the case.

    Not suggesting anyone tries it on their next surgery patient, but it might have some application for needle phobia!

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