Subcutaneous Single Injection Digital Block with Epinephrine

The aim of this study was to investigate the anesthetic effect and risk of epinephrine for subcutaneous single injection digital block. Either 3.0 mL 1.0% Lidocaine or a 3.0 mL 1.0% Lidocaine with (1 : 100,000) epinephrine was injected into the subcutaneous space at the middle point of the palmar di...

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Main Authors: Motoki Sonohata, Satomi Nagamine, Kazumasa Maeda, Kenji Ogawa, Hideki Ishii, Kenji Tsunoda, Akihiko Asami, Masaaki Mawatari
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/487650
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author Motoki Sonohata
Satomi Nagamine
Kazumasa Maeda
Kenji Ogawa
Hideki Ishii
Kenji Tsunoda
Akihiko Asami
Masaaki Mawatari
author_facet Motoki Sonohata
Satomi Nagamine
Kazumasa Maeda
Kenji Ogawa
Hideki Ishii
Kenji Tsunoda
Akihiko Asami
Masaaki Mawatari
author_sort Motoki Sonohata
collection DOAJ
description The aim of this study was to investigate the anesthetic effect and risk of epinephrine for subcutaneous single injection digital block. Either 3.0 mL 1.0% Lidocaine or a 3.0 mL 1.0% Lidocaine with (1 : 100,000) epinephrine was injected into the subcutaneous space at the middle point of the palmar digital crease of the 18 middle fingers of 9 healthy volunteers. The SpO2 of the fingers decreased to a maximum of 97. No subjects showed any symptoms of ischemic injury. The time to anesthesia for the fingers was significantly shorter (𝑃<0.05), and the duration of anesthesia was significantly longer (𝑃<0.01) for the fingers in the epinephrine group. In conclusion, a subcutaneous single injection digital blocks with 3.0 mL of 1.0% Lidocaine and (1 : 100,000) epinephrine were safe, reducing the time to the onset of anesthesia, while also markedly prolonging the anesthesia.
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institution Kabale University
issn 1687-6962
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language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Anesthesiology Research and Practice
spelling doaj-art-677d2833f7904ac98680873d78938bc12025-02-03T05:47:17ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/487650487650Subcutaneous Single Injection Digital Block with EpinephrineMotoki Sonohata0Satomi Nagamine1Kazumasa Maeda2Kenji Ogawa3Hideki Ishii4Kenji Tsunoda5Akihiko Asami6Masaaki Mawatari7Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Saga Insurance Hospital, 3-8-1 Hyogo Minami, Saga-shi, Saga 849-8522, JapanDepartment of Orthopaedic Surgery, Saga Insurance Hospital, 3-8-1 Hyogo Minami, Saga-shi, Saga 849-8522, JapanDepartment of Orthopaedic Surgery, Saga Insurance Hospital, 3-8-1 Hyogo Minami, Saga-shi, Saga 849-8522, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga 849-8501, JapanThe aim of this study was to investigate the anesthetic effect and risk of epinephrine for subcutaneous single injection digital block. Either 3.0 mL 1.0% Lidocaine or a 3.0 mL 1.0% Lidocaine with (1 : 100,000) epinephrine was injected into the subcutaneous space at the middle point of the palmar digital crease of the 18 middle fingers of 9 healthy volunteers. The SpO2 of the fingers decreased to a maximum of 97. No subjects showed any symptoms of ischemic injury. The time to anesthesia for the fingers was significantly shorter (𝑃<0.05), and the duration of anesthesia was significantly longer (𝑃<0.01) for the fingers in the epinephrine group. In conclusion, a subcutaneous single injection digital blocks with 3.0 mL of 1.0% Lidocaine and (1 : 100,000) epinephrine were safe, reducing the time to the onset of anesthesia, while also markedly prolonging the anesthesia.http://dx.doi.org/10.1155/2012/487650
spellingShingle Motoki Sonohata
Satomi Nagamine
Kazumasa Maeda
Kenji Ogawa
Hideki Ishii
Kenji Tsunoda
Akihiko Asami
Masaaki Mawatari
Subcutaneous Single Injection Digital Block with Epinephrine
Anesthesiology Research and Practice
title Subcutaneous Single Injection Digital Block with Epinephrine
title_full Subcutaneous Single Injection Digital Block with Epinephrine
title_fullStr Subcutaneous Single Injection Digital Block with Epinephrine
title_full_unstemmed Subcutaneous Single Injection Digital Block with Epinephrine
title_short Subcutaneous Single Injection Digital Block with Epinephrine
title_sort subcutaneous single injection digital block with epinephrine
url http://dx.doi.org/10.1155/2012/487650
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