Comparison of bupivacaine and lidocaine with epinephrine for digital nerve blocks

Alhelail, Mohammed; Alsalamah, Majid; Al-Mulhim, M; Al-Hamid, S

doi:10.1136/emj.2008.062497

Cited by 31 publications

(47 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nerve distributions are highlighted in Table 1. The anesthetic used was left at the discretion of the treating physician, but it is likely that 1% lidocaine was selected due to its quick onset of action, decreased pain at the time of injection, and more than adequate duration of action to successfully complete the reduction procedure [6]. Additionally, the limited duration of action was advantageous, as return of distal sensation was confirmed prior to discharge; patients were discharged home with adequate pain medication.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries

Amini¹,

Javedani²,

Amini³

et al. 2016

Case Reports in Emergency Medicine

View full text Add to dashboard Cite

Phalanx fractures and interphalangeal joint dislocations commonly present to the emergency department. Although these orthopedic injuries are not complex, the four-point digital block used for anesthesia during the reduction can be painful. Additionally, cases requiring prolonged manipulation or consultation for adequate reduction may require repeat blockade. This case series reports four patients presenting after mechanical injuries resulting in phalanx fracture or interphalangeal joint dislocations. These patients received an ultrasound-guided peripheral nerve block of the forearm with successful subsequent reduction. To our knowledge, use of ultrasound-guided peripheral nerve blocks of the forearm for anesthesia in reduction of upper extremity digit injuries in adult patients in the emergency department setting has not been described before.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries

Amini¹,

Javedani²,

Amini³

et al. 2016

Case Reports in Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Of these, 138 duplicates were excluded and, of the remaining 1,029, 55 papers were chosen based on their titles and compatibility with the inclusion criteria. These papers had their abstracts read, and ten of them were selected for full-text evaluation for eligibility and later included in the qualitative analysis (Table 2) 6,7,[11][12][13][14][15][16][17][18] . However, for the meta-analysis, seven of the ten papers were used.…”

Section: Included Studiesmentioning

confidence: 99%

“…Most of these studies were conducted before 1950, only 21 cases involving the use of epinephrine, 17 involving an unknown vasoconstrictor concentration, and none of them using lidocaine. On the other hand, researches show that the use of lidocaine with epinephrine in digital blocks seems to be safe, not causing digital gangrene [4][5][6][7] .…”

mentioning

confidence: 99%

Efeitos do uso de vasoconstritores no bloqueio de nervos digitais: revisão sistemática com metanálise

Neto

Costa

Veloso

et al. 2019

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO Convencionalmente, a associação de anestésicos locais com vasoconstritores é evitada em extremidades pelo risco de isquemia. Entretanto, estudos recentes sugerem haver segurança no uso de vasoconstritor em extremidades. Procuramos, assim, avaliar a efetividade e segurança do uso de vasoconstritores combinados com anestésicos locais no bloqueio de nervos digitais em comparação ao uso de anestésicos plenos, através de uma revisão sistemática com metanálise de ensaios clínicos randomizados. Pesquisamos, até maio de 2019, nas bases de dados MEDLINE, LILACS, SciELO, ScienceDirect, Scopus, ClinicalTrials.gov e literatura cinzenta, sem restrições de data ou idioma, os descritores: bloqueio digital, vasoconstritor e isquemia. Foram incluídos ensaios clínicos randomizados nos quais houve a utilização de anestésicos locais associados ou não a vasoconstritores em bloqueios digitais. Nas variáveis primárias foram analisadas a ocorrência de complicações isquêmicas e a duração da anestesia, e nas variáveis secundárias foram observadas necessidade de reaplicação anestésica, de controle de sangramento e latência. Dez estudos foram incluídos nesta revisão. Não foi observada a ocorrência de isquemia, independente do uso ou não de vasoconstritores. O uso de vasoconstritores na concentração de 1:100.000 ou menor esteve associado a maior duração da anestesia (P<0,00001), menor necessidade de reaplicação anestésica (P=0,02), menor necessidade de controle de sangramento (P=0,00006) e menor latência (P<0,00001). Pudemos concluir que uso de vasoconstritores associados a anestésicos locais no bloqueio digital mostrou-se uma técnica segura e efetiva.

show abstract

“…The unknowing surgeon may continue to inject local anesthesia, risking a fluid tourniquet or painful edema of the surgical site. 1,5 SUMMARY Complete anesthesia is a prerequisite for successful digital and nail surgery. Several techniques are both effective and well tolerated.…”

Section: Potential Complications and Their Management; Postproceduralmentioning

confidence: 99%

Nail Surgery

Jellinek

Vélez

2015

Dermatologic Clinics

View full text Add to dashboard Cite

Comparison of bupivacaine and lidocaine with epinephrine for digital nerve blocks

Abstract: ISRCTN45121950.

Cited by 31 publications

References 13 publications

Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries

Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries

Efeitos do uso de vasoconstritores no bloqueio de nervos digitais: revisão sistemática com metanálise

Nail Surgery

Contact Info

Product

Resources

About