Digital anesthesia with epinephrine: an old myth revisited
AL Krunic, LC Wang, K Soltani, S Weitzul… - Journal of the American …, 2004 - Elsevier
BACKGROUND: The prohibition against the use epinephrine with local anesthetics for
digital blocks or infiltrative anesthesia is an established dogma in dermatologic surgery.
Major textbooks reinforce this teaching suggesting that there is substantial risk of digital
gangrene caused by local anesthesia containing epinephrine. OBJECTIVE: To provide a
comprehensive literature review of the cases of digital necrosis associated with the use of
local anesthesia containing epinephrine. METHODS: A PubMed search of the National …
digital blocks or infiltrative anesthesia is an established dogma in dermatologic surgery.
Major textbooks reinforce this teaching suggesting that there is substantial risk of digital
gangrene caused by local anesthesia containing epinephrine. OBJECTIVE: To provide a
comprehensive literature review of the cases of digital necrosis associated with the use of
local anesthesia containing epinephrine. METHODS: A PubMed search of the National …