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Revista Cubana de Ortopedia y Traumatología

versión impresa ISSN 0864-215Xversión On-line ISSN 1561-3100


SARDENBERG, Trajano; VARANDA, Denis; RANGEL RAMOS, Carlos  y  CORTOPASSI, Andrea Christina. The Rise and Fall of the Epinephrine Myth in the Hand. Rev Cubana Ortop Traumatol [online]. 2022, vol.36, n.2, e524.  Epub 01-Jun-2022. ISSN 0864-215X.

The possibility of operating patients with hand conditions under local anesthesia, with lidocaine and epinephrine, using WALANT technique caused a revolution in hand surgery, which made life easier for patients and lowered the costs of hospital services. Surgeons need to be aware of the possibilities and history of WALANT technique. The objective was to identify the origins of the rise and fall of the myth and dogma of the prohibition of adrenaline in anesthetic finger blocks. A critical analysis of the main texts of the articles and books on the use of epinephrine in finger anesthesia was carried out. The conception of the myth of banning the use of epinephrine in anesthetic finger blocks occurred due to misinterpretation of reports of necrosis occurring, which were not actually caused by epinephrine. That myth influenced the appearance of a dogma. The history of the use of epinephrine in anesthetic finger blocks demonstrates that superficial and misleading interpretations of clinical complications published as case reports can breed myth and dogma. Only science can prevent and destroy such medical myths and dogmas.

Palabras clave : walant; epinephrine; Local anesthesia.

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