scholarly journals Novel use of ultrasound guidance in wide awake local anesthesia technique for clavicle surgery

2021 ◽  
Author(s):  
Khalid Azizi ◽  
Sabah Benhamza ◽  
Youssef Motiaa
Keyword(s):  
Local Anesthesia ◽  
Ultrasound Guidance ◽  
Anesthesia Technique ◽  
Wide Awake

WALANT Technique versus Sedation for Endoscopic Carpal Tunnel Release

Hand ◽  
2021 ◽  
pp. 155894472110031
Author(s):  
Ian Wellington ◽  
Antonio Cusano ◽  
Joel V. Ferreira ◽  
Anthony Parrino
Keyword(s):  
Local Anesthesia ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Postanesthesia Care Unit ◽  
Complication Rates ◽  
Endoscopic Carpal Tunnel Release ◽  
Average Operating ◽  
Wide Awake ◽  
No Tourniquet ◽  
Room Time

Background This study sought to investigate complication rates/perioperative metrics after endoscopic carpal tunnel release (eCTR) via wide-awake, local anesthesia, no tourniquet (WALANT) versus sedation or local anesthesia with a tourniquet. Methods Patients aged 18 years or older who underwent an eCTR between April 28, 2018, and December 31, 2019, by 1 of 2 fellowship-trained surgeons at our single institution were retrospectively reviewed. Patients were divided into 3 groups: monitored anesthesia care with tourniquet (MT), local anesthesia with tourniquet (LT), and WALANT. Results Inclusion criteria were met by 156 cases; 53 (34%) were performed under MT, 25 (16%) under LT, and 78 (50%) under WALANT. The MT group (46.1 ± 9.7) was statistically younger compared with LT (56.3 ± 14.1, P = .007) and WALANT groups (53.5 ± 15.8, P = .008), F(2, 153) = 6.465, P = .002. Wide-awake, local anesthesia, no tourniquet had decreased procedural times (10 minutes, SD: 2) compared with MT (11 minutes, SD: 2) and LT (11 minutes, SD: 2), F(2, 153) = 5.732, P = .004). Trends favored WALANT over MT and LT for average operating room time (20 minutes, SD: 3 vs 32 minutes, SD: 6 vs 23 minutes, SD: 3, respectively, F(2, 153) = 101.1, P < .001), postanesthesia care unit time (12 minutes, SD: 7 vs 1:12 minutes, SD: 26 vs 20 minutes, SD: 22, respectively, F(2, 153) =171.1, P < .001), and door-to-door time (1:37 minutes, SD: 21 vs 2:51 minutes, SD: 40 vs 1:46 minutes, SD: 33, respectively, F(2, 153) = 109.3, P < .001). There were no differences in complication rates. Conclusions Our data suggest favorable trends for patients undergoing eCTR via WALANT versus MT versus LT.

My local anesthesia technique for abdominal surgery.

1929 ◽  
Vol 25 (9) ◽  
pp. 913-923
Author(s):  
Alexander V. Vishnevsky
Keyword(s):  
Abdominal Surgery ◽  
Local Anesthesia ◽  
Consistent System ◽  
Anesthesia Technique

Individual operations, sometimes quite complex, are done in various areas of it, but they do not have the character of an integral, consistent system resting on a certain principle, but rather look like accidentally successful surgical attempts, usually associated with various combinations of anesthesia methods.

Wide Awake Hand Surgery Under Local Anesthesia No Tourniquet in South America

Hand Clinics ◽  
2019 ◽  
Vol 35 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Pedro José Pires Neto ◽  
Samuel Ribak ◽  
Trajano Sardenberg
Keyword(s):  
South America ◽  
Local Anesthesia ◽  
Hand Surgery ◽  
Wide Awake ◽  
No Tourniquet

scholarly journals Feasibility analysis of loop colostomy closure in patients under local anesthesia

2006 ◽  
Vol 21 (5) ◽  
pp. 275-278 ◽  
Author(s):  
Rone Antônio Alves de Abreu ◽  
Manlio B. Speranzini ◽  
Luís C. Fernandes ◽  
Delcio Matos
Keyword(s):  
Postoperative Complications ◽  
Wound Infection ◽  
Hospital Discharge ◽  
Local Anesthesia ◽  
Loop Colostomy ◽  
Colostomy Closure ◽  
Feasibility Analysis ◽  
Severity Scores ◽  
Anesthesia Technique ◽  
The Mean

PURPOSE: To verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation. METHODS: In this study, 21 patients underwent this operation. Lidocaine 2% and bupivacaine 0.5% were utilized. Pain was evaluated during the operation, on the first postoperative day and at hospital discharge. Intraoperative events, postoperative complications and the acceptability of this procedure were analyzed. RESULTS: The mean duration of the operation was 133 minutes (range: 85 to 290 minutes). The mean postoperative hospitalization was four days (range: one to twelve days). No patients died. Complications occurred in two patients (9.4%): abdominal wall hematoma and operative wound infection. With regard to pain severity, scores of less than or equal to three were indicated in the intraoperative evaluation by 80% of the patients (17/21) and on the first postoperative day by 85% (18/21). At hospital discharge, 95.2% of the patients (20/21) said they were in favor of the local anesthesia technique. CONCLUSION: Loop colostomy closure under local anesthesia and sedation is feasible, safe and acceptable to patients.

scholarly journals Rotura espontánea del tendón extensor largo del pulgar – transferencia tendínea con técnica anestésica WALANT

2017 ◽  
Vol 58 (02) ◽  
pp. 071-075
Author(s):  
Miguel Sanhueza Faúndez ◽  
Camila Azócar Sanhueza ◽  
Gabriel Carrasco Penna
Keyword(s):  
Local Anesthesia ◽  
Wide Awake ◽  
Sobre Todo

ResumenLa rotura espontanea del tendón extensor largo del pulgar (ELP), es una patología infrecuente existiendo casos reportados en la literatura donde no se logra encontrar factores predisponentes. El manejo quirúrgico suele realizarse utilizando una técnica de transposición tendínea del tendón del extensor propio del índice. En la actualidad, la técnica anestésica de WALANT “Wide Awake Local Anesthesia with No-Torniquet” ha sido de amplio desarrollo en la cirugía de la mano, sobre todo para la resolución quirúrgica de patología de tendones, con buenos y excelentes resultados. Se presenta un caso de un paciente con rotura espontánea del tendón ELP, que fue manejado con una transferencia tendínea utilizando la técnica anestésica WALANT.

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