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

被引：0

作者：

Pederiva D. ^{[1
,3
]}

Pilla F. ^{[1
]}

Chiaramonte I. ^{[1
]}

Rinaldi A. ^{[1
]}

Rossomando V. ^{[1
]}

Brunello M. ^{[1
]}

Vita F. ^{[1
]}

Faldini C. ^{[1
,2
]}

机构：

[1] Istituto Ortopedico Rizzoli Istituto di Ricovero e Cura a Carattere Scientifico, Bologna

[2] Department of Biomedical and Neuromotor Sciences - DIBINEM, University of Bologna, Bologna

[3] Research Hospital Rizzoli Orthopedic Institute IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, Bologna

来源：

MUSCULOSKELETAL SURGERY | 2025年 / 109卷 / 2期

关键词：

Carpal tunnel syndrome; Digital ischemia; Hand surgery; Trigger finger; WALANT;

D O I：

10.1007/s12306-024-00835-z

中图分类号：

学科分类号：

摘要：

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. © The Author(s), under exclusive licence to Istituto Ortopedico Rizzoli 2024.

引用

页码：163 / 166

页数：3

共 27 条

[1]

Noordin S., McEwen J.A., Kragh J.F., Et al., Surgical tourniquets in orthopaedics, J Bone Joint Surg Am, 91, pp. 2958-2967, (2009)

[2]

Hutchinson D.T., McClinton M.A., Upper extremity tourniquet tolerance, J Hand Surg, 18, pp. 206-210, (1993)

[3]

Bidwai A.S.C., Benjamin-Laing H.E., Shaw D.A., Et al., Patient satisfaction with tourniquet application and local anaesthesia infiltration in carpal tunnel decompression and the relationship with overall satisfaction, J Plast Surg Hand Surg, 47, pp. 481-483, (2013)

[4]

Oragui E., Parsons A., White T., Et al., Tourniquet use in upper limb surgery, Hand N Y N, 6, pp. 165-173, (2011)

[5]

Palmer A.K., Complications from tourniquet use, Hand Clin, 2, pp. 301-305, (1986)

[6]

Odinsson A., Finsen V., Tourniquet use and its complications in Norway, J Bone Joint Surg Br, 88, pp. 1090-1092, (2006)

[7]

Lefebvre R., Cohen L., Kay H.F., Et al., Forearm and Arm Tourniquet Tolerance, J Am Acad Orthop Surg Glob Res Rev, (2022)

[8]

Ki Lee S., Gul Kim S., Sik Choy W., A randomized controlled trial of minor hand surgeries comparing wide awake local anesthesia no tourniquet and local anesthesia with tourniquet, Orthop Traumatol Surg Res, 106, pp. 1645-1651, (2020)

[9]

Abdullah S., Chia Hua L., Sheau Yun L., Et al., A review of 1073 cases of wide-awake-local-anaesthesia-no-tourniquet (WALANT) in finger and hand surgeries in an urban hospital in Malaysia, Cureus, (2021)

[10]

Farzam R., Deilami M., Jalili S., Kamali K., Comparison of anesthesia results between wide awake local anesthesia no tourniquet (WALANT) and forearm tourniquet bier block in hand surgeries: a randomized clinical trial, Arch Bone Jt Surg, 9, pp. 116-121, (2021)

← 1 2 3 →