The Journal of hand surgery, European volume
-
In the early part of the century, when adrenaline first became widely available, it was used in an uncontrolled manner and cases of ischaemic necrosis led to it falling into disfavour for hand surgery. Local anaesthesia with adrenaline is currently widely used for palmar and dorsal hand surgery but there remains a very deeply ingrained resistance to its use for digital anaesthesia. ⋯ Our findings show that adrenaline only temporarily reduced digital blood flow. Perfusion of the digits persisted in every case.