WALANT as an Optimal Approach in Hand Surgery during Pandemics.

Q4 Biochemistry, Genetics and Molecular Biology

Prague medical report Pub Date : 2022-01-01 DOI:10.14712/23362936.2022.9

Gordana Georgieva, Blagoja Srbov, Bisera Nikolovska, Sofija Tusheva, Katerina Jovanovska, Tomislav Jovanoski, B. Dzonov, Smilja Tudzarova Gjorgova, S. Pejkova

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引用次数: 2

Abstract

The emergence of the COVID-19 pandemic imposed fundamental changes in the field of surgery. Reorganization was made in order to adequately treat the patients during the pandemic. WALANT (Wide Awake Local Anesthesia No Tourniquet) approach was found to be a very convenient method in facilitating continuity in hand surgery with limited staff. A retrospective comparative study was performed between period of April 2020 till September 2021 at our clinic to evaluate advantages of WALANT approach. This study included 136 patients, from which 72 (53%) were operated with WALANT, compared to the control group of 64 (47%) patients without WALANT. Average hospital stay for the WALANT group was 2.2 days vs. 4.7 days for the control group. Average operating room personnel were 3.8 for WALANT and 6.2 for the control non-WALANT group. Intraoperative and postoperative VAS (visual analogue scale) score was evaluated. Due to its diversity, low cost and low complication rate, we recommend WALANT approach in acute and elective hand surgery.

查看原文本刊更多论文

WALANT作为大流行期间手部手术的最佳方法。

COVID-19大流行的出现给外科领域带来了根本性的变化。重组是为了在大流行期间充分治疗病人。WALANT(全醒局麻无止血带)入路是一种非常方便的方法，可以在人手有限的情况下促进手部手术的连续性。在2020年4月至2021年9月期间，在我诊所进行了一项回顾性比较研究，以评估WALANT入路的优势。本研究纳入136例患者，其中72例(53%)行WALANT手术，对照组64例(47%)未行WALANT手术。WALANT组的平均住院时间为2.2天，对照组为4.7天。WALANT组的平均手术室人员为3.8人，非WALANT组的平均手术室人员为6.2人。观察术中、术后视觉模拟评分(VAS)。由于其多样性、低成本和低并发症发生率，我们推荐在急性和择期手部手术中使用WALANT入路。

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

Prague medical report Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

20 weeks