[A rare complication of conduction anesthesia in the treatment of finger injury].
At the present time novocain still remains the anesthetic of choice in ambulatory surgery and traumatology. In practical work the 2% and 0.5% solutions are used. The 2% solution of novocain can in some cases (in patients prone to angiodystonic reactions) cause a persistent spasm of digital arteries that results in irreversible alterations in finger tissues down to the development of gangrene. This fact was confirmed in experiments with 2% solutions of novocain. It is proposed to follow the recommendations on using the 0.5% and 1% solutions of novocain for regional anesthesia in fingers. Such anesthetics as Lidocain and Trimecain should be used more widely since they possess more pronounced and continuous anesthetizing properties.
Tarasko
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AD
Popov
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D000293:Adolescent; D000328:Adult; D000765:Anesthesia, Conduction / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D001157:Arterial Occlusive Diseases / Q000139:chemically induced*; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D005385:Fingers / Q000098:blood supply*; D005734:Gangrene / Q000139:chemically induced; D006801:Humans; D011343:Procaine / Q000008:administration & dosage / Q000009:adverse effects*
D000779:Anesthetics, Local; D011343:Procaine