lidocaine and Finger Injuries studies

Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
lidocaine : The monocarboxylic acid amide resulting from the formal condensation of N,N-diethylglycine with 2,6-dimethylaniline.

Research Excerpts

Excerpt	Relevance	Reference
"To determine the effectiveness of lidocaine-adrenaline-tetracaine (LAT) in providing adequate anesthesia for the repair of finger lacerations and to monitor the risk of digital ischemia following application of LAT gel to finger lacerations."	9.11	The anesthetic effectiveness of lidocaine-adrenaline-tetracaine gel on finger lacerations. ( Bergholte, J; Brousseau, DC; Hennes, H; Kim, MK; White, NJ, 2004)
"Phentolamine rescue was not performed."	5.46	Digital Necrosis After Lidocaine and Epinephrine Injection in the Flexor Tendon Sheath Without Phentolamine Rescue. ( Carr, N; Gray, J; Lalonde, DH; Zhang, JX, 2017)
"To determine the effectiveness of lidocaine-adrenaline-tetracaine (LAT) in providing adequate anesthesia for the repair of finger lacerations and to monitor the risk of digital ischemia following application of LAT gel to finger lacerations."	5.11	The anesthetic effectiveness of lidocaine-adrenaline-tetracaine gel on finger lacerations. ( Bergholte, J; Brousseau, DC; Hennes, H; Kim, MK; White, NJ, 2004)
"This prospective, nonblinded study, comparing jet injection with needle-syringe injection of lidocaine in performing digital blocks, tested the hypothesis that jet injection can be used effectively as a less painful way to perform digital blocks."	3.68	The efficacy and acceptability of using a jet injector in performing digital blocks. ( Ellis, GL; Owens, A, 1993)
"Less pain was also reported during surgery (P < 0."	2.67	Addition of atracurium to lidocaine for intravenous regional anaesthesia. ( Elhakim, M; Sadek, RA, 1994)
" Five hundred patients received injections of 1% plain lidocaine with a dosage range of 2 to 10 cc and an average of 5."	2.46	Do not use epinephrine in digital blocks: myth or truth? Part II. A retrospective review of 1111 cases. ( Chowdhry, S; Cooney, DS; Hazani, R; Seidenstricker, L; Wilhelmi, BJ, 2010)
" Baseline data with respect to sex, age, side, type of finger, donor sites, flap size, dosage of anesthetics, usage of finger tourniquet, intraoperative and postoperative pain, hemostasis effect, operation time, Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) score, and hospitalization expense, were collected."	1.62	Application of WALANT technique for repairing finger skin defect with a random skin flap. ( Cao, S; Gong, K; Xu, J; Yin, L; Zhan, H; Zhang, J; Zhou, Q, 2021)
"Finger injuries are commonly attended to in the emergency department, and digital nerve block is a frequently performed procedure for such injuries."	1.56	The difference of subcutaneous digital nerve block method efficacy according to injection location. ( Cho, YS; Choi, S; Han, S; Kang, B; Kim, GW, 2020)
"Phentolamine rescue was not performed."	1.46	Digital Necrosis After Lidocaine and Epinephrine Injection in the Flexor Tendon Sheath Without Phentolamine Rescue. ( Carr, N; Gray, J; Lalonde, DH; Zhang, JX, 2017)
" Injury to the thumb required a higher dosage (3 ml subcutaneously), and only offered sufficient pain relief for palmar injuries."	1.32	[Clinical experiences and dosage pattern in subcutaneous single-injection digital block technique]. ( Genelin, F; Gradl, G; Kollersbeck, C; Walcher, T, 2004)

Timeframe	Studies, this research(%)	All Research%
pre-1990	4 (11.11)	18.7374
1990's	8 (22.22)	18.2507
2000's	10 (27.78)	29.6817
2010's	11 (30.56)	24.3611
2020's	3 (8.33)	2.80

Authors	Studies
Huang, HF	1
Matschke, J	1
Xu, J	1
Yin, L	1
Cao, S	1
Zhan, H	1
Zhang, J	1
Zhou, Q	1
Gong, K	1
Xing, SG	1
Mao, T	1
Choi, S	1
Cho, YS	1
Kang, B	1
Kim, GW	1
Han, S	1
Prabhakar, H	1
Rath, S	1
Kalaivani, M	1
Bhanderi, N	1
Okur, OM	1
Şener, A	1
Kavakli, HŞ	1
Çelik, GK	1
Doğan, NÖ	1
Içme, F	1
Günaydin, GP	1
Zhang, JX	1
Gray, J	1
Lalonde, DH	2
Carr, N	1
Palumbo, A	1
Toomay, S	1
Singh, K	1
Kalva, S	1
Jaiganesh, T	1
Barling, J	1
Parfitt, A	1
Criddle, J	1
Antevy, PM	1
Zuckerbraun, NS	1
Saladino, RA	1
Pitetti, RD	1
Chowdhry, S	1
Seidenstricker, L	1
Cooney, DS	1
Hazani, R	1
Wilhelmi, BJ	3
Lalonde, JF	1
Yamada, K	1
Masuko, T	1
Iwasaki, N	1
Denkler, KA	1
Summers, A	1
Andrades, PR	1
Olguin, FA	1
Calderón, W	1
Kollersbeck, C	1
Walcher, T	1
Gradl, G	1
Genelin, F	1
White, NJ	1
Kim, MK	1
Brousseau, DC	1
Bergholte, J	1
Hennes, H	1
Yin, ZG	1
Zhang, JB	1
Kan, SL	1
Wang, P	1
Keramidas, EG	1
Rodopoulou, SG	1
Hsieh, CH	1
Huang, KF	1
Liliang, PC	1
Huang, PC	1
Shih, HM	1
Rau, CS	1
Waterbrook, AL	1
Germann, CA	1
Southall, JC	1
Dickson, DR	1
Thornton, DJ	1
Erdmann, MW	1
Elhakim, M	1
Sadek, RA	1
Ellis, GL	1
Owens, A	1
Kour, AK	1
Phone, MH	1
Chia, J	1
Pho, RW	1
Blackwell, SJ	2
Miller, J	1
Mancoll, JS	2
Phillips, LG	2
Fikry, T	1
al Harrar, R	1
Harfaoui, A	1
Harti, A	1
Zryouil, B	1
Gorzack, A	1
Miller, JH	1
Dardano, T	1
Tran, A	1
Robson, AK	1
Bloom, PA	1
Sandzén, SC	1
Gingrich, TF	1
Hawkins, LG	1
Storey, SD	1
Wells, GG	1
Carrel, ED	1
Eyring, EJ	1

Trial	Phase	Enrollment	Study Type	Start Date	Status
Traditional Dorsal Digital Block vs Volar Subcutaneous Digital Block[NCT05280704]		150 participants (Anticipated)	Interventional	2023-12-31	Not yet recruiting
Transthecal Metacarpal Block vs Traditional Digital Block for Painful Finger Procedures in Children[NCT00130104]	Phase 4	92 participants (Actual)	Interventional	2005-07-31	Completed
Prospective Evaluation of Topical Analgesia Using a Lidocaine/Prilocaine Cream for Laceration Repair in the Emergency Department[NCT03071601]	Phase 4	132 participants (Actual)	Interventional	2017-12-01	Completed
Comparison of Wide-Awake Local Anesthesia vs. Regional/General Anesthesia for Hand Flexor Tendon Repair in Zones I and II: a Prospective Randomized Controlled Trial[NCT03135340]		88 participants (Anticipated)	Interventional	2017-08-31	Not yet recruiting
Lidocaine With Epinephrine vs. Bupivacaine With Epinephrine as Local Anesthetic Agents in Wide-awake Hand Surgery: an Outcome Study of Patients' Pain Perception.[NCT02315573]		61 participants (Actual)	Interventional	2014-10-31	Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Article	Year
Adrenaline with lidocaine for digital nerve blocks. The Cochrane database of systematic reviews, 2015, Mar-19, Issue:3 Topics: Adolescent; Adult; Anesthetics, Local; Child; Child, Preschool; Emergencies; Epinephrine; Female; Fi	2015
Do not use epinephrine in digital blocks: myth or truth? Part II. A retrospective review of 1111 cases. Plastic and reconstructive surgery, 2010, Volume: 126, Issue:6 Topics: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Dose-Response Relationship, Dru	2010
A comparison of traditional digital blocks and single subcutaneous palmar injection blocks at the base of the finger and a meta-analysis of the digital block trials. Journal of hand surgery (Edinburgh, Scotland), 2006, Volume: 31, Issue:5 Topics: Adolescent; Adult; Anesthetics, Local; Double-Blind Method; Female; Finger Injuries; Humans; Injecti	2006
Is epinephrine harmful when used with anesthetics for digital nerve blocks? Annals of emergency medicine, 2007, Volume: 50, Issue:4 Topics: Anesthesia, Local; Anesthetics, Local; Epinephrine; Finger Injuries; Fingers; Humans; Infarction; Li	2007
Epinephrine in digital blocks: revisited. Annals of plastic surgery, 1998, Volume: 41, Issue:4 Topics: Adolescent; Adult; Anesthetics, Local; Child; Epinephrine; Female; Finger Injuries; Fingers; Hemosta	1998

Article	Year
Two injection digital block versus single subcutaneous palmar injection block for finger lacerations. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017, Volume: 43, Issue:6 Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Drug Administration Schedule; Emergency Service,	2017
Digital blocks with or without epinephrine. Plastic and reconstructive surgery, 2003, Apr-15, Volume: 111, Issue:5 Topics: Adult; Epinephrine; Female; Finger Injuries; Fingers; Humans; Infections; Lidocaine; Male; Nerve Blo	2003
The anesthetic effectiveness of lidocaine-adrenaline-tetracaine gel on finger lacerations. Pediatric emergency care, 2004, Volume: 20, Issue:12 Topics: Anesthesia, Local; Anesthetics, Local; Child; Drug Therapy, Combination; Epinephrine; Female; Finger	2004
A comparison of traditional digital blocks and single subcutaneous palmar injection blocks at the base of the finger and a meta-analysis of the digital block trials. Journal of hand surgery (Edinburgh, Scotland), 2006, Volume: 31, Issue:5 Topics: Adolescent; Adult; Anesthetics, Local; Double-Blind Method; Female; Finger Injuries; Humans; Injecti	2006
Ropivacaine versus lidocaine in digital nerve blocks: a prospective study. Plastic and reconstructive surgery, 2007, Volume: 119, Issue:7 Topics: Adult; Aged; Amides; Anesthetics, Local; Double-Blind Method; Female; Finger Injuries; Humans; Lidoc	2007
EMLA and water immersion cause similar vasodilatation in replanted fingers. The Journal of surgical research, 2007, Volume: 143, Issue:2 Topics: Adult; Anesthetics, Local; Female; Finger Injuries; Fingers; Humans; Immersion; Laser-Doppler Flowme	2007
Addition of atracurium to lidocaine for intravenous regional anaesthesia. Acta anaesthesiologica Scandinavica, 1994, Volume: 38, Issue:6 Topics: Adult; Anesthesia, Conduction; Anesthesia, Intravenous; Atracurium; Female; Finger Injuries; Fractur	1994
[Local digital anesthesia using lidocaine with or without bicarbonate. A comparative randomized study]. Revue de chirurgie orthopedique et reparatrice de l'appareil moteur, 1998, Volume: 84, Issue:8 Topics: Adult; Alkalies; Ambulatory Surgical Procedures; Anesthesia, Local; Anesthetics, Local; Bicarbonates	1998
Do not use epinephrine in digital blocks: myth or truth? Plastic and reconstructive surgery, 2001, Volume: 107, Issue:2 Topics: Contraindications; Double-Blind Method; Epinephrine; Finger Injuries; Hemostasis, Surgical; Humans;	2001
Suturing of digital lacerations: digital block or local infiltration? Annals of the Royal College of Surgeons of England, 1990, Volume: 72, Issue:6 Topics: Anesthesia, Local; Finger Injuries; Humans; Lidocaine; Nerve Block; Suture Techniques	1990

lidocaine and Finger Injuries

Research Excerpts

Research

Studies (36)

Authors

Clinical Trials (5)

Trial Overview

Reviews

Trials

Other Studies

Article	Year
Digit Replantation under Wide-Awake Local Anesthesia. Plastic and reconstructive surgery, 2022, Jan-01, Volume: 149, Issue:1 Topics: Amputation, Traumatic; Anesthesia, Local; Anesthetics, Local; Female; Finger Injuries; Follow-Up Stu	2022
Application of WALANT technique for repairing finger skin defect with a random skin flap. Journal of orthopaedic surgery and research, 2021, Mar-02, Volume: 16, Issue:1 Topics: Adult; Anesthesia, Local; Anesthetics, Local; Epinephrine; Feasibility Studies; Female; Finger Injur	2021
The use of local anaesthesia with epinephrine in the harvest and transfer of an extended Segmuller flap in the fingers. The Journal of hand surgery, European volume, 2018, Volume: 43, Issue:7 Topics: Adult; Anesthesia, Local; Anesthetics, Local; Epinephrine; Female; Finger Injuries; Humans; Lidocain	2018
The difference of subcutaneous digital nerve block method efficacy according to injection location. The American journal of emergency medicine, 2020, Volume: 38, Issue:1 Topics: Adult; Anesthetics, Local; Emergency Service, Hospital; Female; Finger Injuries; Finger Joint; Human	2020
Digital Necrosis After Lidocaine and Epinephrine Injection in the Flexor Tendon Sheath Without Phentolamine Rescue. The Journal of hand surgery, 2017, Volume: 42, Issue:2 Topics: Amputation, Surgical; Anesthetics, Local; Epinephrine; Female; Finger Injuries; Humans; Lidocaine; M	2017
Angiography in Complex Regional Pain Syndrome. Journal of vascular and interventional radiology : JVIR, 2017, Volume: 28, Issue:3 Topics: Amines; Analgesics; Anesthetics, Local; Angiography; Complex Regional Pain Syndromes; Cyclohexanecar	2017
Single injection digital anaesthesia: an easy technique for paediatric finger injuries. Emergency medicine journal : EMJ, 2008, Volume: 25, Issue:12 Topics: Adolescent; Anesthesia, Local; Anesthetics, Local; Child; Child Health Services; Child, Preschool; E	2008
Evaluation of a transthecal digital nerve block in the injured pediatric patient. Pediatric emergency care, 2010, Volume: 26, Issue:3 Topics: Adolescent; Anesthesia; Anesthetics, Local; Bupivacaine; Child; Child, Preschool; Female; Finger Inj	2010
Discussion. Do not use epinephrine in digital blocks: myth or truth? Part II. A retrospective review of 1111 cases. Plastic and reconstructive surgery, 2010, Volume: 126, Issue:6 Topics: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Epinephrine; Female; Finger Inj	2010
Rupture of the flexor digitorum profundus tendon after injections of insoluble steroid for a trigger finger. The Journal of hand surgery, European volume, 2011, Volume: 36, Issue:1 Topics: Adult; Anti-Inflammatory Agents; Female; Finger Injuries; Humans; Injections; Lidocaine; Recurrence;	2011
Epinephrine in the digits. Plastic and reconstructive surgery, 2011, Volume: 128, Issue:2 Topics: Epinephrine; Female; Finger Injuries; Hand Injuries; Humans; Lidocaine; Male; Mythology; Nerve Block	2011
Use of digital nerve blocks to provide anaesthetic relief. Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association, 2011, Volume: 19, Issue:5 Topics: Anesthetics, Local; Bupivacaine; Finger Injuries; Fingers; Humans; Lidocaine; Nerve Block	2011
[Clinical experiences and dosage pattern in subcutaneous single-injection digital block technique]. Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V..., 2004, Volume: 36, Issue:1 Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anesthetics, Local; Child; Child, Preschool; Critical Pa	2004
A postoperative cup of tea--the patient's best friend? The Journal of hand surgery, European volume, 2007, Volume: 32, Issue:5 Topics: Adult; Anesthesia Recovery Period; Anesthesia, Local; Anesthetics, Local; Bupivacaine; Burns; Carpal	2007
Digital flexor sheath injury: a new diagnostic test. Annals of the Royal College of Surgeons of England, 1995, Volume: 77, Issue:2 Topics: Finger Injuries; Humans; Lidocaine; Nerve Block; Tendon Injuries	1995
The efficacy and acceptability of using a jet injector in performing digital blocks. The American journal of emergency medicine, 1993, Volume: 11, Issue:6 Topics: Adult; Female; Finger Injuries; Humans; Injections, Jet; Lidocaine; Male; Needles; Nerve Block; Pain	1993
Digital replantations under local anaesthesia. Annals of the Academy of Medicine, Singapore, 1995, Volume: 24, Issue:4 Suppl Topics: Adolescent; Adult; Amputation, Traumatic; Anesthesia, Local; Bupivacaine; Conscious Sedation; Diazep	1995
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Lignocaine or bupivacaine for digital ring block. Journal of accident & emergency medicine, 1998, Volume: 15, Issue:5 Topics: Adult; Anesthetics, Local; Bupivacaine; Emergency Medicine; Evidence-Based Medicine; Female; Finger	1998
Treating acute hand and finger injuries. 1. American family physician, 1974, Volume: 9, Issue:5 Topics: Amputation, Surgical; Anesthesia, Local; Bites and Stings; Child, Preschool; Debridement; Finger Inj	1974
Intravenous regional anesthesia of the upper extremity in children. JAMA, 1967, May-01, Volume: 200, Issue:5 Topics: Anesthesia, Conduction; Child; Female; Finger Injuries; Fractures, Bone; Humans; Injections, Intrave	1967
Intravenous lidocaine anesthesia for upper extremity fractures and dislocations. The Journal of bone and joint surgery. American volume, 1970, Volume: 52, Issue:8 Topics: Anesthesia, Conduction; Arm Injuries; Elbow Joint; Finger Injuries; Finger Joint; Fractures, Bone; H	1970
Intravenous regional anesthesia for childhood fractures. The Journal of trauma, 1971, Volume: 11, Issue:4 Topics: Adolescent; Anesthesia, Conduction; Anesthesia, Intravenous; Child; Child, Preschool; Epiphyses; Fib	1971