title: Revisiting epinephrine in foot surgery.
abstract: Anesthetics containing epinephrine have long been thought unsuitable for use in the foot and, particularly, the digits. However, research suggests that epinephrine use is beneficial in the appropriately selected patient. These benefits include a decreased local anesthetic plasma concentration; an increased duration of anesthesia, with a decreased need for additional narcotic use after surgery; decreased development of hemorrhage and postoperative hematoma, without occlusion of vessels; and a lack of complications (in millions of patients reported on in the literature). A retrospective review of more than 150 patients receiving local anesthetics containing epinephrine revealed no complications in the foot and ankle.
authors.affiliation: Aestheticare Outpatient Surgery Center, San Juan Capistrano, CA 92675, USA.
authors.forename: Philip
authors.initials: P
authors.lastname: Radovic
authors.forename: Robert G
authors.initials: RG
authors.lastname: Smith
authors.forename: Don
authors.initials: D
authors.lastname: Shumway
mesh_terms: D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000494:pharmacology; D004338:Drug Combinations; D004837:Epinephrine / Q000008:administration & dosage* / Q000494:pharmacology; D005528:Foot / Q000601:surgery*; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D012189:Retrospective Studies; D014662:Vasoconstrictor Agents / Q000008:administration & dosage* / Q000494:pharmacology
chemical_list: D000779:Anesthetics, Local; D004338:Drug Combinations; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine