Amethocaine 1% drops are instilled into the conjunctival fornices. Both lids are infiltrated with lignocaine 1% with 1:200,000 adrenaline. A short length of 1 cm nasal packing soaked in 10 ml of Moffatts solution, consisting of 2 ml of 6% cocaine, 1 ml of 1:1000 adrenaline, 1 ml 8.4% sodium bicarbonate, and 6 ml normal saline (in a 70-kg adult), is placed into the nasal cavity and removed after 5 min, or alternatively cophenylcaine [lignocaine hydrochloride 5% w/v (50 mg) and phenylephrine hydrochloride 0.5% (5 mg) is used].
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