Re: percutaneous image-guided drainage question
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What our docs would probably use would be a small dose of midazolam and some ketamine, or perhaps some fentanyl. The proposed site could be numbed with lidocaine, but not necessarily. With needle aspiration, the pain post procedure would be minimal and controlled with Tylenol. Even if they have to make a small incision, the pain would be tolerable in most cases. Large, loculated abcesses should be drained in the OR and properly debrided to prevent sepsis.
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