Epinephrine in digital blocks

Revisited

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

Research output: Contribution to journalArticle

49 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)410-414
Number of pages5
JournalAnnals of Plastic Surgery
Volume41
Issue number4
DOIs
StatePublished - Oct 1998

Fingerprint

Epinephrine
Gangrene
Fingers
Anesthesia
Finger Injuries
Tourniquets
Hemostatics
Lidocaine
Vasoconstriction
Analgesics

ASJC Scopus subject areas

  • Surgery

Cite this

Wilhelmi, B. J., Blackwell, S. J., Miller, J., Mancoll, J. S., & Phillips, L. (1998). Epinephrine in digital blocks: Revisited. Annals of Plastic Surgery, 41(4), 410-414. https://doi.org/10.1097/00000637-199810000-00010

Epinephrine in digital blocks : Revisited. / Wilhelmi, Bradon J.; Blackwell, Steven J.; Miller, John; Mancoll, John S.; Phillips, Linda.

In: Annals of Plastic Surgery, Vol. 41, No. 4, 10.1998, p. 410-414.

Research output: Contribution to journalArticle

Wilhelmi, BJ, Blackwell, SJ, Miller, J, Mancoll, JS & Phillips, L 1998, 'Epinephrine in digital blocks: Revisited', Annals of Plastic Surgery, vol. 41, no. 4, pp. 410-414. https://doi.org/10.1097/00000637-199810000-00010
Wilhelmi, Bradon J. ; Blackwell, Steven J. ; Miller, John ; Mancoll, John S. ; Phillips, Linda. / Epinephrine in digital blocks : Revisited. In: Annals of Plastic Surgery. 1998 ; Vol. 41, No. 4. pp. 410-414.
@article{b85973bc7141496ba793f3bca7eee15a,
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 Linda Phillips",
year = "1998",
month = "10",
doi = "10.1097/00000637-199810000-00010",
language = "English (US)",
volume = "41",
pages = "410--414",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

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

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.

UR - http://www.scopus.com/inward/record.url?scp=0031658320&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031658320&partnerID=8YFLogxK

U2 - 10.1097/00000637-199810000-00010

DO - 10.1097/00000637-199810000-00010

M3 - Article

VL - 41

SP - 410

EP - 414

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 4

ER -