Epinephrine in digital blocks: Revisited

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

Research output: Contribution to journalArticle

53 Scopus citations


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
Issue number4
StatePublished - Oct 1998


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