关键词: Carpal tunnel syndrome Digital ischemia Hand surgery Trigger finger WALANT

来  源:   DOI:10.1007/s12306-024-00835-z

Abstract:
BACKGROUND: 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.
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.
摘要:
背景:广泛唤醒局部麻醉无止血带(WALANT)技术在手外科中越来越多地使用,因为它避免了止血带相关的并发症并节省了资金。
方法:在本研究中,我们分析了2018年1月1日至2022年12月31日使用该技术进行腕管综合征或触发指手术的病例.
结果:我们获得822例(426个腕管综合征,396个触发手指),整体麻醉功效(无需额外的麻醉剂)为97.8%。99.8%的患者对麻醉选择满意或非常满意。
结论:我们相信WALANT是一种安全有效的技术,每一位手外科医生都应该具备这种技术。
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