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 Are we missing any?
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