Myth or Modality? Exploring the current perceptions and practices of adrenaline use in musculoskeletal extremities surgery in Pakistan

The Orthopedic surgeons of Pakistan use injection Lidocaine (Xylocaine) with Adrenaline containing local anesthesia in their clinical practice more frequently in areas other than fingers and toes. Majority of the surgeons still persistently believe in Adrenaline myth and are of the opinion that this should not be used in finger and toe contrary to the reality supported by recent literature that it is completely safe in acral surgeries.