Digital block with or without the addition of epinephrine in the anesthetic solution

Detalhes bibliográficos
Autor(a) principal: Reis Júnior,Almiro dos
Data de Publicação: 2016
Outros Autores: Quinto,Denise
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Anestesiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000100063
Resumo: BACKGROUND AND OBJECTIVES: Review of various techniques for digital blocks with local anesthetic, with or without epinephrine. CONTENTS: Description of various procedures and comparison of results reported in the literature, mainly on latency and quality of anesthesia, details on vasoconstrictor effect of epinephrine, intraoperative bleeding, necessity of tourniquet use, duration of anesthesia and postoperative analgesia, blood flow and digital SpO2 behavior, local and systemic complications, and also approaches and drugs to be used in certain situations of ischemia. CONCLUSIONS: The advantages of adding epinephrine to the anesthetic solution are minor when compared to the risks of the procedure, and it seems dangerous to use a vasoconstrictor in the fingers, unless the safety of the technique and the possibility of discarding the tourniquet are definitely proven.
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spelling Digital block with or without the addition of epinephrine in the anesthetic solutionAnesthesia, regionalLocal anestheticscocainelidocainebupivacaineropivacaineSurgery, fingersIschemiaepinephrine BACKGROUND AND OBJECTIVES: Review of various techniques for digital blocks with local anesthetic, with or without epinephrine. CONTENTS: Description of various procedures and comparison of results reported in the literature, mainly on latency and quality of anesthesia, details on vasoconstrictor effect of epinephrine, intraoperative bleeding, necessity of tourniquet use, duration of anesthesia and postoperative analgesia, blood flow and digital SpO2 behavior, local and systemic complications, and also approaches and drugs to be used in certain situations of ischemia. CONCLUSIONS: The advantages of adding epinephrine to the anesthetic solution are minor when compared to the risks of the procedure, and it seems dangerous to use a vasoconstrictor in the fingers, unless the safety of the technique and the possibility of discarding the tourniquet are definitely proven.Sociedade Brasileira de Anestesiologia2016-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000100063Revista Brasileira de Anestesiologia v.66 n.1 2016reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2013.12.004info:eu-repo/semantics/openAccessReis Júnior,Almiro dosQuinto,Deniseeng2016-02-15T00:00:00Zoai:scielo:S0034-70942016000100063Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2016-02-15T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false
dc.title.none.fl_str_mv Digital block with or without the addition of epinephrine in the anesthetic solution
title Digital block with or without the addition of epinephrine in the anesthetic solution
spellingShingle Digital block with or without the addition of epinephrine in the anesthetic solution
Reis Júnior,Almiro dos
Anesthesia, regional
Local anesthetics
cocaine
lidocaine
bupivacaine
ropivacaine
Surgery, fingers
Ischemia
epinephrine
title_short Digital block with or without the addition of epinephrine in the anesthetic solution
title_full Digital block with or without the addition of epinephrine in the anesthetic solution
title_fullStr Digital block with or without the addition of epinephrine in the anesthetic solution
title_full_unstemmed Digital block with or without the addition of epinephrine in the anesthetic solution
title_sort Digital block with or without the addition of epinephrine in the anesthetic solution
author Reis Júnior,Almiro dos
author_facet Reis Júnior,Almiro dos
Quinto,Denise
author_role author
author2 Quinto,Denise
author2_role author
dc.contributor.author.fl_str_mv Reis Júnior,Almiro dos
Quinto,Denise
dc.subject.por.fl_str_mv Anesthesia, regional
Local anesthetics
cocaine
lidocaine
bupivacaine
ropivacaine
Surgery, fingers
Ischemia
epinephrine
topic Anesthesia, regional
Local anesthetics
cocaine
lidocaine
bupivacaine
ropivacaine
Surgery, fingers
Ischemia
epinephrine
description BACKGROUND AND OBJECTIVES: Review of various techniques for digital blocks with local anesthetic, with or without epinephrine. CONTENTS: Description of various procedures and comparison of results reported in the literature, mainly on latency and quality of anesthesia, details on vasoconstrictor effect of epinephrine, intraoperative bleeding, necessity of tourniquet use, duration of anesthesia and postoperative analgesia, blood flow and digital SpO2 behavior, local and systemic complications, and also approaches and drugs to be used in certain situations of ischemia. CONCLUSIONS: The advantages of adding epinephrine to the anesthetic solution are minor when compared to the risks of the procedure, and it seems dangerous to use a vasoconstrictor in the fingers, unless the safety of the technique and the possibility of discarding the tourniquet are definitely proven.
publishDate 2016
dc.date.none.fl_str_mv 2016-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000100063
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000100063
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjane.2013.12.004
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
dc.source.none.fl_str_mv Revista Brasileira de Anestesiologia v.66 n.1 2016
reponame:Revista Brasileira de Anestesiologia (Online)
instname:Sociedade Brasileira de Anestesiologia (SBA)
instacron:SBA
instname_str Sociedade Brasileira de Anestesiologia (SBA)
instacron_str SBA
institution SBA
reponame_str Revista Brasileira de Anestesiologia (Online)
collection Revista Brasileira de Anestesiologia (Online)
repository.name.fl_str_mv Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)
repository.mail.fl_str_mv ||sba2000@openlink.com.br
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