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a knee a fusion okay I feel the kneecap so what Iamp;#39;m planning on doing first is I use some alcohol first and then I use a Betadine swab here and Iamp;#39;m going to use a different Tech I usually do is I inject a lot of markane or lidocaine in this case Iamp;#39;m using a cold spray so this demonstration is how to use a cold spray for aspirating knee right there in the center you can still see my little my little indentation right there okay now why am I using a 22 gauge needle because the fluid is very thick and control pain right his cold spray right here once again I check my my landmarks patellas right there top of the patellas here thatamp;#39;s going to go right underneath Iamp;#39;ve done other videos where Iamp;#39;ve used lidocaine but in this case Iamp;#39;m using right on the mark right there a little squeeze here to distract moving in see so the shaking actually distracts the patient can you get different angles please so you can see where weamp;#39;re at diff