TY - CHAP M1 - Book, Section TI - Digital Block A1 - Van Boxstael, Sam A1 - Smeets, Ann-Sofie A1 - Vloka, Jerry D. A2 - Hadzic, Admir PY - 2017 T2 - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e AB - Strauss1 provided the first description of the digital block in 1889 for the condition of an ingrown toenail, using 20% cocaine at the base and under the nail. In 1905, Heinrich Braun reported the synergistic advantage of adding epinephrine to local anesthetics.2,3 However, the use of epinephrine in digital block anesthesia has been avoided due to the theoretical risk of ischemia and possible gangrene. However, Bradon Wilhelmi and colleagues4 demonstrated the safety and efficacy of epinephrine-containing local anesthetic for digital block. Digital block is one of the most common nerve block techniques. It is frequently used in the emergency department and primary care settings for various procedures such as lacerations of the finger or toe, nail removal, nail bed repair, paronychia drainage, removal of foreign bodies, and any other painful procedures on digits. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/12 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1141739301 ER -