Randomized comparison of the single-injection volar subcutaneous block and the two-injection dorsal block for digital anesthesia

Plastic and Reconstructive Surgery

Volumn 118, Issue 5, 2006, Pages 1195-1200

  Williams, Jason G ^b   Lalonde, Donald H ^a  

^a DALHOUSIE UNIVERSITY   (Canada)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; LIDOCAINE;

ADULT; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HUMAN; INJECTION PAIN; LOCAL ANESTHESIA; MALE; NERVE BLOCK; NORMAL HUMAN; PHALANX; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; STATISTICAL SIGNIFICANCE;

ADULT; ANESTHETICS, LOCAL; FEMALE; FINGERS; HUMANS; INJECTIONS, SUBCUTANEOUS; MALE; MIDDLE AGED; NERVE BLOCK; PAIN; PAIN MEASUREMENT; PATIENT SATISFACTION;

EID: 33749445829     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.prs.0000237016.00941.96     Document Type: Article

References (15)

1. Braun, H., and Harris, M. L. Operations on the extremities. In H. Braun, and M. L. Harris (Eds.), Local Anesthesia: Its Scientific Basis and Practical Use, 2nd Ed. New York: Lea & Febiger, 1924. Pp. 366-367.
2. Harbison, S. Transthecal digital block: Flexor tendon sheath used for anesthetic infusion (Letter). J. Hand Surg. (Am.) 16: 957, 1991.
3. Chui, D. T. W. Transthecal digital block: Flexor tendon sheath used for anesthetic infusion. J. Hand Surg. (Am.) 15: 471, 1990.
4. Hill, R. G., Patterson, J. W., Parker, J. C., et al. Comparison of transthecal digital block and traditional digital block for anesthesia of the finger. Ann. Emerg. Med. 25: 604, 1995.
5. Low, C. K., Vartany, A., Engstrom, J. W., et al. Comparison of transthecal and subcutaneous single-injection digital block techniques. J. Hand Surg. (Am.) 22: 901, 1997.
6. Whetzel, T. P., Mabourakh, S., and Barkhordar, R. Modified transthecal block. J. Hand Surg. (Am.) 22: 361, 1997.
7. Cummings, A. J., Tisol, W. B., and Meyer, L. E. Modified transthecal digital block versus traditional digital block for anesthesia of the finger. J. Hand Surg. (Am.) 29: 44, 2004.
8. Brutus, J. P., Nikolis, A., Baeten, Y., et al. Reducing patient discomfort during digital blockade: The subcutaneous single injection digital block - a simple, safe and fast procedure. Can. J. Plast. Surg. 11: 33, 2003.
9. Zar, J. H. Biostatistical Analysis, 3rd Ed. Upper Saddle River, N.J.: Prentice Hall, 1996. P. 536.
10. Denkler, K. A comprehensive review of epinephrine in the finger: To do or not to do. Plast. Reconstr. Surg. 108: 114, 2001.
11. Nodwell, T., and Lalonde, D. How long does it take phentolamine to reverse adrenaline-induced vasoconstriction in the finger and hand? A prospective randomized blinded study: The Dalhousie project experimental phase. Can. J. Plast. Surg. 11: 187, 2003.
12. Wilhelmi, B. J., Blackwell, S. J., Miller, J. H., et al. Do not use epinephrine in digital blocks: Myth or truth? Plast. Reconstr. Surg. 107: 393, 2001.
13. Altinyazar, H. C., Ozdemir, H., Koca, R., et al. Epinephrine in digital block: Color Doppler flow imaging. Dermatol. Surg. 30: 508, 2004.
14. Lalonde, D. H., Bell, M., Benoit, P., et al. A multicenter prospective study of 3110 consecutive cases of elective epinephrine use in the fingers and hand: The Dalhousie project clinical phase. J. Hand Surg. (Am.) (in press).
15. Thomson, C. J., Lalonde, D. H., Denkler, K. A., et al. A critical look at the evidence for and against elective epinephrine use in the finger. Plast. Reconstr. Surg. (in press).