Epinephrine in digital blocks: Revisited

Bradon J. Wilhelmi; Steven J. Blackwell; John Miller; John S. Mancoll; Linda G. Phillips

doi:10.1097/00000637-199810000-00010

Epinephrine in digital blocks: Revisited

Bradon J. Wilhelmi, Steven J. Blackwell, John Miller, John S. Mancoll, Linda G. Phillips

Surgery

Research output: Contribution to journal › Article › peer-review

56 Scopus citations

Abstract

Digital block anesthesia with epinephrine, ring technique, and digital tourniquet have been implicated in causing finger gangrene. An extensive review of the literature provided no case of finger gangrene attributed solely to the adjunctive use of epinephrine with lidocaine for digital block. By causing vasoconstriction, epinephrine complements the local analgesic by prolonging the duration of action and providing a temporary hemostatic effect. Epinephrine augmentation of digital block anesthesia was used in the treatment of 23 finger injuries without a complication.

Original language	English (US)
Pages (from-to)	410-414
Number of pages	5
Journal	Annals of plastic surgery
Volume	41
Issue number	4
DOIs	https://doi.org/10.1097/00000637-199810000-00010
State	Published - Oct 1998

ASJC Scopus subject areas

Surgery

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10.1097/00000637-199810000-00010

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title = "Epinephrine in digital blocks: Revisited",

abstract = "Digital block anesthesia with epinephrine, ring technique, and digital tourniquet have been implicated in causing finger gangrene. An extensive review of the literature provided no case of finger gangrene attributed solely to the adjunctive use of epinephrine with lidocaine for digital block. By causing vasoconstriction, epinephrine complements the local analgesic by prolonging the duration of action and providing a temporary hemostatic effect. Epinephrine augmentation of digital block anesthesia was used in the treatment of 23 finger injuries without a complication.",

author = "Wilhelmi, {Bradon J.} and Blackwell, {Steven J.} and John Miller and Mancoll, {John S.} and Phillips, {Linda G.}",

year = "1998",

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T1 - Epinephrine in digital blocks

T2 - Revisited

AU - Wilhelmi, Bradon J.

AU - Blackwell, Steven J.

AU - Miller, John

AU - Mancoll, John S.

AU - Phillips, Linda G.

PY - 1998/10

Y1 - 1998/10

N2 - Digital block anesthesia with epinephrine, ring technique, and digital tourniquet have been implicated in causing finger gangrene. An extensive review of the literature provided no case of finger gangrene attributed solely to the adjunctive use of epinephrine with lidocaine for digital block. By causing vasoconstriction, epinephrine complements the local analgesic by prolonging the duration of action and providing a temporary hemostatic effect. Epinephrine augmentation of digital block anesthesia was used in the treatment of 23 finger injuries without a complication.

AB - Digital block anesthesia with epinephrine, ring technique, and digital tourniquet have been implicated in causing finger gangrene. An extensive review of the literature provided no case of finger gangrene attributed solely to the adjunctive use of epinephrine with lidocaine for digital block. By causing vasoconstriction, epinephrine complements the local analgesic by prolonging the duration of action and providing a temporary hemostatic effect. Epinephrine augmentation of digital block anesthesia was used in the treatment of 23 finger injuries without a complication.

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JO - Annals of plastic surgery

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IS - 4

ER -

Epinephrine in digital blocks: Revisited

Abstract

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