Journals / Hand and Microsurgery / 2020 / Cilt: 9 - Sayı: 2

Wide awake local anesthesia no tourniquet (WALANT) - Turkish patients' perspective

Pages
81–85
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We advise WALANT technique for a variety of hand surgery procedures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Recently, wide awake local anesthesia no tourniquet (WALANT) technique has been rapidly increasing in popularity because of its benefits for surgeons, patients, and institutions.
📊
Key Findings & Data:Methods: There were 138 patients included in this study who were operated under WALANT and accepted to fill a questionnaire during telephone interview.
💡
Conclusion & Impact:We advise WALANT technique for a variety of hand surgery procedures.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Recently, wide awake local anesthesia no tourniquet (WALANT) technique has been rapidly increasing in popularity because of its benefits for surgeons, patients, and institutions. In this study, we wanted to evaluate Turkish patients’ operative experiences with different hand surgery procedures under WALANT. Methods: There were 138 patients included in this study who were operated under WALANT and accepted to fill a questionnaire during telephone interview. Patients were asked to quantify their pain levels on a numerical rating scale (NRS) and compare the operation to a dental procedure. They were also asked about their expectations and their feelings about re-operation with the same anesthesia method. Results: The mean age was 43.5 years, and the mean follow-up was 11.2 months. The mean NRS pain score was 2.3 during local anesthetic administration, and it was 1.2 during surgery. Seventy-six percent of responders reported a better operative experience when compared with dental procedures, and 77.5% of them reported a better operative experience than they had expected. Eighty-eight percent of the patients wished to be operated on with the same anesthesia method for any possible operations in the future. Conclusions: We observed that Turkish patients readily adopted the WALANT technique and were satisfied with their operative experience. We advise WALANT technique for a variety of hand surgery procedures.

🔖

Cite This Article

AYHAN, E., UYSAL, O., TİKMAN, M., AYHAN, C. (2022). Wide awake local anesthesia no tourniquet (WALANT) - Turkish patients' perspective. Hand and Microsurgery, Cilt: 9 - Sayı: 2, 81–85. https://ajindex.com/articles/533892

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Lalonde D, Eaton C, Amadio P, Jupiter J. Wide-awake Hand and Wrist Surgery: A New Horizon in Outpatient Surgery. Instr Course Lect 2015;64:249-59
  2. Tang JB, Xing SG, Ayhan E, Hediger S, Huang S. Impact of Wide-Awake Local Anesthesia No Tourniquet on Departmental Settings, Cost, Patient and Surgeon Satisfaction, and Beyond. Hand Clin 2019;35:29-34
  3. Lalonde DH, Tang JB. How the Wide Awake Tourniquet-Free Approach Is Changing Hand Surgery in Most Countries of the World. Hand Clin 2019;35:13-4
  4. Lalonde DH. Latest Advances in Wide Awake Hand Surgery. Hand Clin 2019;35:1-6
  5. Lalonde DH. Conceptual origins, current practice, and views of wide awake hand surgery. J Hand Surg Eur Vol 2017;42:886-95
  6. Wheelock M, Petropolis C, Lalonde DH. The Canadian Model for Instituting Wide-Awake Hand Surgery in Our Hospitals. Hand Clin 2019;35:21-7
  7. Tang JB, Gong KT, Xing SG, Yi L, Xu JH. WideAwake Hand Surgery in Two Centers in China: Experience in Nantong and Tianjin with 12,000 patients. Hand Clin 2019;35:7-12
  8. Ayhan E, Ozdemir E, Gumusoglu E, Cevik K, Eskandari MM. The rise of wide awake hand surgery-contribution from Turkey. Hand Microsurg 2018;7:125-34
  9. Strazar AR, Leynes PG, Lalonde DH. Minimizing the pain of local anesthesia injection. Plast Reconstr Surg 2013;132:675-84
  10. Lalonde DH, Jagodzinski N, Phillips A. How to Inject Local Anesthetic With Minimal Pain. In: Lalonde DH (ed.) Wide Awake Hand Surgery. Thieme, New York, 2015:37-48
  11. Davison PG, Cobb T, Lalonde DH. The patient’s perspective on carpal tunnel surgery related to the type of anesthesia: a prospective cohort study. Hand (N Y) 2013;8:47-53
  12. Teo I, Lam W, Muthayya P, Steele K, Alexander S, Miller G. Patients' perspective of wide-awake hand surgery--100 consecutive cases. J Hand Surg Eur Vol 2013;38:992-9
  13. Rhee PC, Fischer MM, Rhee LS, McMillan H, Johnson AE. Cost Savings and Patient Experiences of a Clinic-Based, Wide-Awake Hand Surgery Program at a Military Medical Center: A Critical Analysis of the First 100 Procedures. J Hand Surg Am 2017;42:e139-47
  14. Lalonde DH, Phillips A, McGrouther D. Tumescent Local Anesthesia. In: Lalonde DH (ed.) Wide Awake Hand Surgery. Thieme, New York, 2015:29-36.