Digital Nerve Block Questions & Answers

1. Agur A. Grant's Atlas of Anatomy. 10th ed. Lippincott Williams & Wilkins; 2003.

2. Simpson PM, McCabe B, Bendall JC, Cone DC, Middleton PM. Paramedic-performed digital nerve block to facilitate field reduction of a dislocated finger. Prehosp Emerg Care. 2012 Jul-Sep. 16(3):415-7. [QxMD MEDLINE Link].

3. Mulroy MF, Bernards CM, McDonald SB, Salinas FV. Local anesthetics. A Practical Approach to Regional Anesthesia. 4th ed. Lippincott Williams and Wilkins; May 2008. 1.

4. Roberts JR, Hedges JR, Chanmugam AS. Clinical Procedures in Emergency Medicine. 4th ed. Elsevier Health Sciences; October 2004.

5. Denkler K. A comprehensive review of epinephrine in the finger: to do or not to do. Plast Reconstr Surg. 2001 Jul. 108(1):114-24. [QxMD MEDLINE Link].

6. Motoki Sonohata, Satomi Nagamine, Kazumasa Maeda, Kenji Ogawa, Hideki Ishii, Kenji Tsunoda, et al. Subcutaneous Single Injection Digital Block with Epinephrine. Anesthesiology Research and Practice. 2012. 2012:4. [QxMD MEDLINE Link].

7. Selvi F, Bedel C, Akçimen M. Evaluation of vapocoolant spray effect on pain reduction during digital nerve block: A randomized clinical trial. Am J Emerg Med. 2021 Dec. 50:260-263. [QxMD MEDLINE Link].

8. Maher AJ, Metcalfe SA, Parr S. Local anesthetic toxicity. The Foot. Dec 2008. 18:192-197.

9. Schmidt RM, Rosenkranz HS. Antimicrobial activity of local anesthetics: lidocaine and procaine. J Infect Dis. 1970 Jun. 121(6):597-607. [QxMD MEDLINE Link].

10. Morris T, Tracey J. Lignocaine: its effects on wound healing. Br J Surg. 1977 Dec. 64(12):902-3. [QxMD MEDLINE Link].

11. Eriksson AS, Sinclair R, Cassuto J, Thomsen P. Influence of lidocaine on leukocyte function in the surgical wound. Anesthesiology. 1992 Jul. 77(1):74-8. [QxMD MEDLINE Link].

12. Chiu DT. Transthecal digital block: flexor tendon sheath used for anesthetic infusion. J Hand Surg [Am]. 1990 May. 15(3):471-7. [QxMD MEDLINE Link].

13. Hill RG Jr, Patterson JW, Parker JC, Bauer J, Wright E, Heller MB. Comparison of transthecal digital block and traditional digital block for anesthesia of the finger. Ann Emerg Med. 1995 May. 25(5):604-7. [QxMD MEDLINE Link].

14. Low CK, Wong HP, Low YP. Comparison between single injection transthecal and subcutaneous digital blocks. J Hand Surg [Br]. 1997 Oct. 22(5):582-4. [QxMD MEDLINE Link].

15. Dehghani M, Mahmoodian A. A revisit of transthecal digital block and traditional digital block for anesthesia of the finger. Journal of Research in Medical Sciences. Nov/Dec 2007. 12(6):

16. Flarity-Reed K. Methods of digital block. J Emerg Nurs. 2002 Aug. 28(4):351-4. [QxMD MEDLINE Link].

17. Salasche SJ. Scher RK, Daniels CR, eds. Surgery In Nails: Treatment; Diagnosis; Surgery. 2nd ed. WB Saunders; 1997. 329.

Dmitry Volfson, DO Staff Physician, Department of Emergency Medicine, Long Island Jewish Medical Center

Dmitry Volfson, DO is a member of the following medical societies: American Osteopathic Association, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Gino A Farina, MD, FACEP, FAAEM Professor of Emergency Medicine, Hofstra North Shore-LIJ School of Medicine at Hofstra University; Program Director, Department of Emergency Medicine, Long Island Jewish Medical Center

Gino A Farina, MD, FACEP, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Laurie Scudder, DNP, NP Nurse Planner, Medscape; Senior Clinical Professor of Nursing, George Washington University

Disclosure: Nothing to disclose.

Meda Raghavendra (Raghu), MD Associate Professor, Interventional Pain Management, Department of Anesthesiology, Chicago Stritch School of Medicine, Loyola University Medical Center

Meda Raghavendra (Raghu), MD is a member of the following medical societies: American Society of Anesthesiologists, American Society of Regional Anesthesia and Pain Medicine, American Association of Physicians of Indian Origin

Disclosure: Nothing to disclose.

Luis M Lovato, MD Associate Clinical Professor, University of California, Los Angeles, David Geffen School of Medicine; Director of Critical Care, Department of Emergency Medicine, Olive View-UCLA Medical Center

Luis M Lovato, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

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