Local anesthesia using buffered 0.5% lidocaine with 1:200,000 epinephrine for tumors of the digits treated with Mohs micrographic surgery

Firoz, Bahar F.; Davis, Neil; Goldberg, Leonard Harry

doi:10.1016/j.jaad.2009.07.005

Cited by 28 publications

(21 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multiple studies involving thousands of patients support the premise that the use of lidocaine with epinephrine is safe in the digits. [4][5][6][7][8][9] In this study, we aimed to make an objective comparison of digital block with and without epinephrine in chemical matricectomy.…”

mentioning

confidence: 99%

Digital Block With and Without Epinephrine During Chemical Matricectomy with Phenol

Altinyazar¹,

Demirel

Koca³

et al. 2010

Dermatologic Surgery

View full text Add to dashboard Cite

The mean anesthetic volume used in the epinephrine group (2.2 ± 0.4 mL) was significantly lower than the plain lidocaine group (3.1 ± 0.6 mL). There was no statistically significant difference in postoperative pain and recurrence rates, but duration of drainage was significantly shorter in the epinephrine group (11.1 ± 2.5 days) than in the plain lidocaine group (19.0 ± 3.8 days). CONCLUSION Digital block with epinephrine is safe in selected patients, and epinephrine helps to shorten the postoperative drainage period. The authors have indicated no significant interest with commercial supporters.

show abstract

mentioning

confidence: 99%

Digital Block With and Without Epinephrine During Chemical Matricectomy with Phenol

Altinyazar¹,

Demirel

Koca³

et al. 2010

Dermatologic Surgery

View full text Add to dashboard Cite

show abstract

“…Many authors have reported safe use of lidocaine-epinephrine mixture for digital block in good number of patients. [44][45][46] They did not observe digital necrosis in any of their patients, rather there were added advantages of combining with epinephrine. Epinephrine facilitates faster onset of anesthesia, prolonged post-procedure pain relief, and lesser amount of local anesthetic required without much need of tourniquet placement to control bleeding.…”

Section: Other Advances In Nail Disorder Diagnosismentioning

confidence: 89%

What′s new in nail disorders?

Dogra¹,

Yadav²

2011

Indian J Dermatol Venereol Leprol

View full text Add to dashboard Cite

“…2 Another retrospective chart review identified 63 patients who had digit surgery with lidocaine with epinephrine and found no cases of digital ischemia or necrosis. 3 An earlier literature review found 50 cases of digital gangrene reported. 4 Most occurred in the early 20th century; 21 cases used epinephrine, with concentrations reported in only 4 cases (ranging from 1:160,000 to 1:400,000).…”

Section: Data Extraction and Synthesismentioning

confidence: 99%