OpenMed/multicare-articles huggingface dataset:
Digital ischemia after lidocaine with epinephrine injection in a patient with primary Raynaud's phenomena
Authors: Colin T McNamara, Mark Greyson
Journal: Case Reports Plast Surg Hand Surg (2022)
Keywords: epinephrine, raynaud’s, digital block, epidermolysis, finger, necrosis
MeSH terms: Case Reports

Lidocaine with epinephrine is ubiquitous in hand procedures. Although existing literature supports the overall safety of this, significant physiologic changes accompanying epinephrine can disproportionately affect vascularly compromised patients, such as in Raynaud's phenomenon. The literature is reviewed and a case presented regarding the dangers of epinephrine injection in this population.