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[Clinical experiences and dosage pattern in subcutaneous single-injection digital block technique]
C Kollersbeck1, T Walcher, G Gradl
1Abteilung für Unfallchirurgie, Kardinal Schwarzenbergsches Krankenhaus, Schwarzach im Pongau, Salzburg, Austria. christoph.kollersbeck@kh-schwarzach.at
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|April 15, 2004
Summary
The subcutaneous digital block effectively treats most finger injuries, requiring 2-3 ml of local anesthetic. This method is ideal for palmar finger injuries and thumb injuries, enhancing patient comfort.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
Context:
- Subcutaneous digital block is a common technique for digital anesthesia.
- Assessing the efficacy and optimal dosage of subcutaneous digital block for various finger injuries is crucial for patient care.
Purpose:
- To evaluate the effectiveness of the subcutaneous digital block for treating finger injuries.
- To determine optimal local anesthetic dosages based on injury location (palmar vs. dorsal) and digit (finger vs. thumb).
Summary:
- 100 patients with 108 finger/thumb injuries received subcutaneous digital blocks using 2-3 ml of local anesthetic.
- Palmar finger injuries required 2 ml, while dorsal finger and thumb injuries needed 3 ml.
- The technique was effective for palmar injuries but insufficient for dorsal injuries, sometimes necessitating a deep local nerve block (Oberst).
Impact:
- The subcutaneous digital block is recommended for palmar finger and thumb injuries due to reduced anesthetic use and improved patient comfort.
- This technique offers a viable alternative to more invasive procedures for specific digital injuries.
- Findings guide anesthetic selection and administration for digital injuries, potentially improving outcomes and patient experience.