Six Years of Epinephrine Digital Injections: Absence of Significant Local or Systemic Effects

Muck, Andrew; Bebarta, Vikhyat S.; Borys, Douglas J.; Morgan, David L.

doi:10.1016/j.annemergmed.2010.02.019

Cited by 74 publications

(63 citation statements)

References 18 publications

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“…Other conservative treatments include hot compresses, massage or ice packs. A study [25] of 365 epinephrine hand injections showed that all patients had resolution of their symptoms and none required hand surgeon consultation or surgery.…”

Section: Barrier To Using Epinephrine Auto-injectorsmentioning

confidence: 98%

Epinephrine in anaphylaxis

Song

Lieberman²

2015

Current Opinion in Allergy &Amp; Clinical Immunology

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Section: Barrier To Using Epinephrine Auto-injectorsmentioning

confidence: 98%

Epinephrine in anaphylaxis

Song

Lieberman²

2015

Current Opinion in Allergy &Amp; Clinical Immunology

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“…In 2007, FitzcharlesBowe reported that there was no finger necrosis after accidental digital injection of high-dose (1:1,000) epinephrine (6). Studies on the effects of epinephrine use in local anesthesia in hand surgery have been also conducted by Chowdhry (2010), Muck (2010) and Mann (2012) (7)(8)(9). Lalonde established in 2013 the dosage of 1% lidocaine with 1:100,000 epinephrine for the typical surgical procedures, recommending the use of 20 cc for CTS, 4 cc for trigger finger, 15 cc for each digital ray affected by DD, 40 cc for Bennet fracture and metacarpal fractures (10).…”

Section: Discussionmentioning

confidence: 99%

Use of WALLANT technique in hand surgery, safe and advantageous. Personal experience

Perţea¹,

Poroch²,

Grosu³

et al. 2018

J Clin Invest Surg.

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To cite this article: Pertea M, Poroch V, Grosu OM, Manole A, Velenciuc N, Lunca S. AbstractObjectives. To confirm the efficiency of using local anesthesia with lidocaine and epinephrine in hand surgery.Materials and methods. 75 patients in whom we used local anesthesia with 1% lidocaine and epinephrine in solution 1: 100 000. We evaluated the amount of used anesthetic, the time to onset of anesthesia, intraoperative bleeding, the duration of intervention and hospitalization, immediate postoperative complications.Results. It has been no case of digital necrosis or other vascular complications and no intraoperative bleeding. The amount of the used anesthetic varied. In no case it was necessary to use of phentolamine as an antidote to the effects of adrenaline.Conclusions. Wide awake local anesthesia no tourniquet technique is safe, having many advantages: it is not necessary to use the tourniquet with or without intravenous sedation, the surgeon and patient comfort is maximum, there is no risk of digital necrosis, hospitalization time is short and the costs are minimal.

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“…2 The effects of epinephrine can be easily and expediently reversed with the use of phentolamine. [3][4][5] …”

Section: Current Opinionmentioning

confidence: 98%