IMPLEMENTATION OF WALANT ANESTHESIA FOR HAND AND WRIST SURGERIES IN A TERTIARY HOSPITAL: PILOT STUDY.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253303e289446

Lucas Moratelli, Maria Teresa Cursino Moratelli, Marcos Felipe Marcatto de Abreu, João Carlos Nakamoto, Rodrigo Gonçalves Pagnano

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Abstract

Objective: To analyze the feasibility and patient satisfaction of using the WALANT technique in treating low-complexity hand and wrist surgical conditions.

Methods: A prospective pilot study conducted in a tertiary hospital, including individuals aged ≥18 years, ASA I or II, undergoing low-complexity procedures lasting <1 hour. Those with contraindications to local anesthesia or clinical conditions that could affect the study data were excluded. Participants received WALANT anesthesia. Demographic and clinical data were collected, and the Numerical Pain Scale measured pain.

Results: Twenty-one participants who underwent 23 surgical procedures were analyzed. 69.6% were women, a mean age of 49.6 ± 15.6 years, and 73.9% were ASA II. During the procedures, 86.5% reported tolerable pain only once, attributed to the needle puncture of the skin (mean of 2.0 ± 1.7 on a scale of 0-10). Only 5% reported that the pain of anesthesia was greater than that of contralateral venous access. Intraoperative bleeding was tolerable.

Conclusion: The WALANT technique showed sufficient anesthetic and vasoconstrictor efficacy for most low-complexity hand and wrist surgeries and ensured patient comfort even without sedation. Level of Evidence IV; Case Series .

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三级医院手腕手术麻醉的实施：初步研究。

目的：分析WALANT技术在低复杂度手腕手术中的可行性及患者满意度。方法：在一家三级医院进行了一项前瞻性试点研究，包括年龄≥18岁、ASA I或II级、接受持续低复杂性手术的个体。结果：21名参与者接受了23种外科手术。69.6%为女性，平均年龄49.6±15.6岁，73.9%为ASA II型。在手术过程中，86.5%的患者报告只有一次可忍受的疼痛，这是由于针刺皮肤引起的（在0-10的范围内，平均值为2.0±1.7）。只有5%的患者报告麻醉疼痛大于对侧静脉通路。术中出血是可以容忍的。结论：WALANT技术在大多数低复杂性手腕手术中具有足够的麻醉和血管收缩效果，即使在没有镇静的情况下也能保证患者的舒适度。证据水平IV；案例系列。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.