Under 2$ hand anesthesia? Our first 800 cases with Wide-Awake Local Anesthesia No Tourniquet (WALANT) in hand surgery.

Q1 Medicine
MUSCULOSKELETAL SURGERY Pub Date : 2025-06-01 Epub Date: 2024-06-07 DOI:10.1007/s12306-024-00835-z
D Pederiva, F Pilla, I Chiaramonte, A Rinaldi, V Rossomando, M Brunello, F Vita, C Faldini
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引用次数: 0

Abstract

Introduction: The Wide-Awake-Local-Anesthesia-No-Tourniquet (WALANT) technique is being used progressively more and more in hand surgery as it avoids tourniquet-related complications and saves money.

Materials and methods: In the present study, we analyzed our cases of carpal tunnel syndrome or trigger finger operated upon with this technique from January 1, 2018 to December 31, 2022.

Results: We obtained 822 cases (426 carpal tunnel syndrome, 396 trigger finger) with an overall anesthesiologic efficacy (no need of additional anesthetic) of 97.8%. Patients were satisfied or very satisfied with the anesthetic choice in 99.8% of cases.

Conclusions: We believe WALANT to be a safe and effective technique that every hand surgeon should have in his/her repertoire.

手部麻醉费用不足 2 美元?我们在手部手术中使用宽醒局部麻醉无止血带(WALANT)的首批 800 个病例。
简介:宽醒局部麻醉-无止血带(WALANT)技术可避免止血带相关并发症并节省费用,因此在手外科手术中的应用越来越广泛:在本研究中,我们分析了2018年1月1日至2022年12月31日期间采用该技术进行手术的腕管综合征或扳机指病例:我们获得了 822 个病例(腕管综合征 426 例,扳机指 396 例),总体麻醉有效率(无需额外麻醉)为 97.8%。99.8%的患者对麻醉选择表示满意或非常满意:我们认为 WALANT 是一种安全有效的技术,每位手外科医生都应掌握。
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来源期刊
MUSCULOSKELETAL SURGERY
MUSCULOSKELETAL SURGERY Medicine-Surgery
CiteScore
4.50
自引率
0.00%
发文量
35
期刊介绍: Musculoskeletal Surgery – Formerly La Chirurgia degli Organi di Movimento, founded in 1917 at the Istituto Ortopedico Rizzoli, is a peer-reviewed journal published three times a year. The journal provides up-to-date information to clinicians and scientists through the publication of original papers, reviews, case reports, and brief communications dealing with the pathogenesis and treatment of orthopaedic conditions.An electronic version is also available at http://www.springerlink.com.The journal is open for publication of supplements and for publishing abstracts of scientific meetings; conditions can be obtained from the Editors-in-Chief or the Publisher.
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