Delayed-Onset Digital Ischemia After Local Anesthetic With Epinephrine Injection Requiring Phentolamine Reversal.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28259566.
- Also identified by DOI 10.1016/j.jhsa.2017.01.006.
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Abstract
The use of low-dose epinephrine in hand surgery has made it possible to perform a wide range of surgical procedures in the office setting. Low-dose epinephrine use is safe, and its vasoconstrictive effects are reversible with phentolamine. In this report, we present late-onset finger ischemia beginning 3 hours after an ipsilateral carpal tunnel and A1 pulley release of the middle finger anesthetized with local anesthetic and low-dose epinephrine (1:100,000). Finger ischemia lasted 14 hours until rescued with phentolamine injection.
Medical subject headings
- Antihypertensive Agents
- Epinephrine
- Fingers
- Ischemia
- Phentolamine
- Vasoconstrictor Agents
Anatomy
- hand
- wrist