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BIB_444

Epinephrine (adrenaline) in local anaesthetic for hypertensive patients undergoing skin surgery — fills a ZERO-coverage gap in the brief: neither BIB259 (McCormack 2026 UK BP thresholds) nor BIB434 (ramipril day-of-surgery) addresses whether the LOCAL ANAESTHETIC CHOICE ITSELF poses a cardiovascular risk to this patient at BP 150-180. The WLE for this patient (2026-05-26, Inverclyde Royal, Dr Clare May) will use lidocaine WITH epinephrine (standard for all melanoma WLE — essential for haemostasis, surgical-field clarity, and extended anaesthetic duration); this entry answers: is epinephrine-…

Evidence grade

B

Tier

2 (O'

Cited by tasks

3, 13a, 24

Identifiers

DOI:10.1097/DSS · PMID:3789773

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Full extracted findings & patient-implication analysis: bibliography/BIB_444/findings.md (research corpus). This page is a short context summary — not individualised medical advice.