Article: Experience and evidence exonerate epinephrine in finger, hand surgery.(Dermatologic Surgery)

FAJARDO, P.R. -- Epinephrine use in hand and finger surgery doesn't deserve its bad rap, Donald Lalonde, M.D., said at the annual meeting of the American Association for Hand Surgery.

Although epinephrine is commonly thought to be dangerous in the hands and fingers, that belief is based on limited data derived from cases several decades old, said Dr. Lalonde of St. John (N.B.) Regional Hospital. Newer evidence suggests epinephrine is not only safe but beneficial for hand and finger surgery, he added.

"There is a serious disconnect between the experience and the dogma," he said, noting that he has used epinephrine for almost every hand and finger ...

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