Hugo Zimmermann, Cyril Quemeneur, Thibaut Goetsch, Frédéric Le Saché, Sébastien Bloc
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引用次数: 0
摘要
WALANT（宽醒局部麻醉无止血带）已在手外科手术中广泛实施。我们在麻醉师团队的领导下，对 1979 年至 2022 年期间的研究进行了系统性回顾。只纳入了将 WALANT 与其他类型区域麻醉进行比较的随机研究。研究结果包括疼痛、手术持续时间、术中出血、并发症和患者满意度。分析共纳入了 12 篇文章。我们发现 WALANT 组术中疼痛的 VAS 值降低了 2.77（95% CI -3.79；-1.75，I² 93%）。手术持续时间无明显差异（MD 0.79，95% CI 95% -0.11；1.69，I² 73%）。WALANT 组患者的满意度一直很高。术中出血量极少，与临床无关。与其他类型的手部手术区域麻醉相比，WALANT技术在不增加手术时间的情况下减轻了患者的疼痛。
Wide-Awake Local Anesthesia No Tourniquet in hand surgery: A systematic review and meta-analysis.
WALANT (Wide Awake Local Anesthesia No Tourniquet) has been widely implemented in hand surgery. We conducted a systematic review from 1979 to 2022, led by a team of anesthesiologist. Only randomized studies comparing WALANT to other types of regional anesthesia were included. The outcomes studied were pain, duration of the procedure, intraoperative bleeding, complications, and patient satisfaction. Twelve articles were included in the analysis. We found a reduction of 2.77 on the VAS (95% CI -3.79; -1.75, I² 93%) for intraoperative pain in the WALANT group. There was no significant difference (MD 0.79, 95% CI 95% -0.11; 1.69, I² 73%) for duration of surgery. Patient satisfaction was consistently high in the WALANT group. Intraoperative bleeding was minimal and not clinically relevant. Compared to other types of regional anesthesia in hand surgery, the WALANT technique decreases pain for the patients without increasing the length of surgery.
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