There are still doubters out there. Here is all the evidence / ammunition you need to dispel the myth once and for all.

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Finger Injection with High-Dose (1:1,000) Epinephrine: Does it Cause Finger Necrosis and Should it be Treated?

Authors: Fitzcharles-Bowe / Denkler / Lalonde

Journal: Hand

Open

Is it safe to use local anesthesia with adrenaline in hand surgery? WALANT technique (Portuguese)

Authors: Pires Neto / Andrade Moreira / Pires de Las Casas

Journal: Rev Blas Ortop

Open

Optimal Time Delay between Epinephrine Injection and Incision to Minimize Bleeding

Authors: McKee / Lalonde / Thoma / Glennie / Hayward

Journal: PRS

Open

A Critical Look at the Evidence for and against Elective Epinephrine Use in the Finger

Authors: Thomson / Lalonde / Denkler / Feicht

Journal: PRS

Open

Digital Necrosis After Lidocaine and Epinephrine Injection in the Flexor Tendon Sheath Without Phentolamine Rescue

Authors: Zhang / Gray / Lalonde / Carr

Journal: J Hand Surg Am

Open

Epinephrine and Hand Surgery

Authors: Mann / Hammert

Journal: J Hand Surg Am

Open

Epinephrine in Local Anesthesia in Finger and Hand Surgery: The Case for Wide-awake Anesthesia

Authors: Lalonde / Martin

Journal: JAAOS

Open

A Multicenter Prospective Study of 3,110 consecutive Cases of Elective Epinephrine Use in the Fingers and Hand: The Dalhousie Project Clinical Phase

Authors: Lalonde / Bell / Benoit / Sparkes / Denkler / Chang

Journal: JHS

Open

Use of adrenalin with lidocaine in hand surgery

Authors: De Freitas Novais Junior / Bacelar Costa / De Morais Carmo

Journal: Rev Bras Ortop

Open

A Comprehensive Review of Epinephrine in the Finger: To Do or Not to Do

Authors: Denkler

Journal: PRS

Open

Discussion: Do Not Use Epinephrine in Digital Blocks: Myth or Truth? Part II. A Retrospective Review of 1111 Cases

Authors: Lalonde / Lalonde

Journal: Plastic and Reconstructive Surgery

Open

Six Years of Epinephrine Digital Injections: Absence of SignificantLocal or Systemic Effects

Authors: Muck / Bebarta /Borys / Morgan

Journal: Ann Emerg Med

Open

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The Adrenaline myth