Brachial Plexus Nerve Transfer Under Wide Awake Local Anesthesia No Tourniquet.

IF 1.8 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI:10.1097/GOX.0000000000007151

J Terrence Jose Jerome

引用次数: 0

Abstract

Brachial plexus injuries commonly require nerve transfers, traditionally performed under general anesthesia. We propose the wide awake local anesthesia no tourniquet (WALANT) technique, utilizing lidocaine with epinephrine to achieve anesthesia and maintain a bloodless surgical field without general anesthesia. Our initial experience with nerve transfers (eg, ulnar-to-musculocutaneous for elbow flexion) entirely under WALANT demonstrates excellent patient tolerance, minimal pain, and high satisfaction. Intraoperative nerve identification was enhanced by patient feedback and nerve stimulation without anesthesia-related complications. Recovery was rapid, and functional outcomes matched conventional methods. WALANT offers a safe, cost-effective, and patient-friendly alternative, improving surgical accessibility by reducing anesthesia risks and enabling procedures in resource-limited settings.

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全清醒局麻不带止血带下臂丛神经移植。

臂丛神经损伤通常需要神经转移，传统上在全身麻醉下进行。我们提出了无止血带（WALANT）技术，利用利多卡因和肾上腺素来达到麻醉和维持无血手术野，而无需全身麻醉。我们的初步经验表明，完全在WALANT下进行神经转移（例如，肘关节屈曲的尺侧到肌侧）的患者耐受性好，疼痛最小，满意度高。术中神经识别通过患者反馈和神经刺激增强，无麻醉相关并发症。恢复迅速，功能结果与常规方法相符。WALANT提供了一种安全、经济、患者友好的替代方案，通过降低麻醉风险和在资源有限的情况下进行手术，提高了手术的可及性。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.