title: [Digital nerve block anaesthesia: historical development and two cases of finger-tip necrosis, a rare complication].
abstract: Two cases of finger-tip necrosis following digital blocks are presented. These are rare complications of this technique. Pathogenesis and treatment options are discussed and the literature reviewed. Circulatory problems can be avoided by using adrenalin free anaesthetics, infiltrating at the metacarpal level with small volumes, and using upper-arm tourniquets instead of rubber bands at the phalangeal level.
authors.affiliation: Klinik für Plastische, Wiederherstellungs- und Handchirurgie des Kantonsspitals Aarau, Germany. damir.demonaco@ksa.ch
authors.forename: D
authors.initials: D
authors.lastname: De Monaco
authors.forename: A
authors.initials: A
authors.lastname: De Monaco
authors.forename: E
authors.initials: E
authors.lastname: Kammer
authors.forename: G
authors.initials: G
authors.lastname: Noever
mesh_terms: D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects* / Q000266:history; D004837:Epinephrine / Q000009:adverse effects; D005260:Female; D005385:Fingers / Q000098:blood supply / Q000294:innervation / Q000473:pathology*; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007511:Ischemia / Q000139:chemically induced / Q000473:pathology; D008012:Lidocaine / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009407:Nerve Block / Q000009:adverse effects* / Q000266:history; D011183:Postoperative Complications / Q000139:chemically induced / Q000473:pathology*
chemical_list: D008012:Lidocaine; D004837:Epinephrine