Female in her 30s underwent carpal tunnel syndrome surgery, when the surgeon applied lidocaine with adrenaline injection she started to have severe Hand pain and numbness & Pallor.
What is the most appropriate initial step?
A. Monitor blood pressure and heart rates
B. DO doppler US
C. Assess her hand for signs of ischemia
D. phentolamine
Answer: C
Note: Phentolamine should be administered subcutaneously (SQ), not IV. The initial step is to perform a physical examination to assess for signs of ischemia before administering treatment.
September 5, 2026 202
