Impact of Wide-Awake Local Anesthesia No Tourniquet on Departmental Settings, Cost, Patient and Surgeon Satisfaction, and Beyond

被引：22
|
作者：
Tang, Jin Bo [1 ]
Xing, Shu Guo [1 ]
Ayhan, Egemen [2 ]
Hediger, Sebastian [3 ]
Huang, Simon [4 ]
机构：
[1] Nantong Univ, Affiliated Hosp, Dept Hand Surg, 20 West Temple Rd, Nantong 226001, Jiangsu, Peoples R China
[2] Univ Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Hand Surg Orthopaed & Traumatol, TR-06110 Ankara, Turkey
[3] Bulach Hosp, Dept Hand Surg, Rodenbergstr 4, CH-8253 Diessenhofen, Switzerland
[4] Surg Day Case Ctr, Chirurg Lindenpk,Lindenstr 23, CH-8302 Kloten, Switzerland
来源：
HAND CLINICS | 2019年 / 35卷 / 01期
关键词：
Local anesthesia; No tourniquet; Hand surgery; Efficiency; Departmental settings; Medical cost; Quality of life; Hand surgery training; FLEXOR TENDON REPAIR; HAND SURGERY;
D O I：
10.1016/j.hcl.2018.08.012
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
This article reviews the impact of wide-awake hand surgery without tourniquet on departmental settings and savings on patients' medical cost, and efficiency of fellowship training and practice of junior hand surgeons in 3 units in 3 countries. The medical cost of the commonly performed procedures is decreased remarkably with this approach in the 3 units. Hand surgery fellowship training and practice of junior surgeons are benefited from this approach in 2 units in Turkey and Switzerland. Overall, this approach improves the surgeons' and patients' quality of life and its application is expanding to almost all procedures of hand surgery.
引用
收藏
页码：29 / +
页数：7
相关论文
共 50 条
  • [1] Wide-awake Local Anesthesia with No Tourniquet: An Updated Review
    Kurtzman, Joey S.
    Etcheson, Jennifer I.
    Koehler, Steven M.
    PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2021, 9 (03) : E3507
  • [2] Use of Wide-awake Local Anesthesia No Tourniquet in Hand and Wrist Surgery
    Steiner, Murphy M.
    Calandruccio, James H.
    ORTHOPEDIC CLINICS OF NORTH AMERICA, 2018, 49 (01) : 63 - +
  • [3] Qualitative aspects of patient pain during surgery with wide-awake local anesthesia
    MacNeill, A. Luke
    Wright, John
    Mayich, D. Joshua
    JOURNAL OF ORTHOPAEDICS, 2019, 16 (01) : 105 - 108
  • [4] A physiological assessment of patient pain during surgery with wide-awake local anesthesia
    MacNeill, A. Luke
    Mayich, D. Joshua
    JOURNAL OF ORTHOPAEDICS, 2020, 19 : 158 - 161
  • [5] Comparison of Wide-Awake Local Anesthesia No Tourniquet With General Anesthesia With Tourniquet for Volar Plating of Distal Radius Fracture
    Huang, Ying-Cheng
    Chen, Chun-Yu
    Lin, Kai-Cheng
    Yang, Shang-Wei
    Tarng, Yih-Wen
    Chang, Wei-Ning
    ORTHOPEDICS, 2019, 42 (01) : E93 - E98
  • [6] The use of the wide-awake local anesthesia no tourniquet technique in foot and ankle injuries
    Bilgetekin, Yenel Gurkan
    Kuzucu, Yakup
    Ozturk, Alper
    Yuksel, Sinan
    Atilla, Halis Atil
    Ersan, Onder
    FOOT AND ANKLE SURGERY, 2021, 27 (05) : 535 - 538
  • [7] Wide-Awake Local Anesthetic No Tourniquet Surgery of the Foot and Ankle
    Mayich, D. Joshua
    ORTHOPEDIC CLINICS OF NORTH AMERICA, 2023, 54 (04) : 471 - 483
  • [8] Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
    Lalonde, Donald
    Martin, Alison
    ARCHIVES OF PLASTIC SURGERY-APS, 2014, 41 (04): : 312 - 316
  • [9] Adoption of the Wide-Awake Local Anesthesia No Tourniquet Technique in Hand Surgery
    Hearon, Bernard F.
    Isaacs-Pullins, Sharon R.
    Lalonde, Donald H.
    JBJS REVIEWS, 2023, 11 (07) : E1 - E9
  • [10] Wide-Awake Local Anesthesia No Tourniquet in hand surgery: A systematic review and meta-analysis
    Zimmermann, Hugo
    Quemeneur, Cyril
    Goetsch, Thibaut
    Le Sache, Frederic
    Bloc, Sebastien
    HAND SURGERY & REHABILITATION, 2024, 43 (05)
12345