Archives of Plastic Surgery

  • 제41권4호
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  • Pages.312-316
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  • 2014
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction

  • 투고 : 2013.08.05
  • 심사 : 2013.09.08
  • 발행 : 2014.07.15
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⟨ 이전 논문 다음 논문 ⟩

초록

This is a review article of the wide-awake approach to hand surgery. More than 95% of all hand surgery can now be performed without a tourniquet. Epinephrine is injected with lidocaine for hemostasis and anesthesia instead of a tourniquet and sedation. This is sedation-free surgery, much like a visit to a dental office. The myth of danger of using epinephrine in the finger is reviewed. The wide awake technique is greatly improving results in tendon repair, tenolysis, and tendon transfer. Here, we will explain its advantages.

키워드

참고문헌

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피인용 문헌

  1. Achieving the Optimal Epinephrine Effect in Wide Awake Hand Surgery using Local Anesthesia without a Tourniquet vol.10, pp.4, 2014, https://doi.org/10.1007/s11552-015-9759-6
  2. Systematic Injection Patterned-Technique of One-Per-Mil Tumescent Solution for Perforator-Based Skin Flap: Is it Better Than the Random Patterned-Technique? vol.100, pp.9, 2014, https://doi.org/10.9738/intsurg-d-14-00290.1
  3. Improving Outcomes in Tendon Repair: A Critical Look at the Evidence for Flexor Tendon Repair and Rehabilitation vol.138, pp.6, 2016, https://doi.org/10.1097/prs.0000000000002769
  4. Tumescent anaesthesia: its applications and well tolerated use in the out-of-operating room setting vol.30, pp.4, 2017, https://doi.org/10.1097/aco.0000000000000486
  5. Wide Awake Open Reduction of Irreducible Metacarpal Phalangeal Joint Dislocations vol.5, pp.7, 2014, https://doi.org/10.1097/gox.0000000000001394
  6. Wide Awake Hand Surgery vol.22, pp.3, 2014, https://doi.org/10.1142/s0218810417500320
  7. Prevention of Surgical Site Infections and Biofilms: Pharmacokinetics of Subcutaneous Cefazolin and Metronidazole in a Tumescent Lidocaine Solution vol.5, pp.5, 2014, https://doi.org/10.1097/gox.0000000000001351
  8. Evidence-Based Medicine: Current Evidence in the Diagnosis and Management of Carpal Tunnel Syndrome vol.140, pp.1, 2014, https://doi.org/10.1097/prs.0000000000003477
  9. An Economic Analysis of MAC Versus WALANT: A Trigger Finger Release Surgery Case Study vol.12, pp.4, 2014, https://doi.org/10.1177/1558944716669693
  10. Use of Fibrin Sealant for Split-Thickness Skin Grafts in Patients with Hand Burns: A Prospective Cohort Study vol.31, pp.12, 2018, https://doi.org/10.1097/01.asw.0000547413.61758.27
  11. A Cost Analysis of Carpal Tunnel Release Surgery Performed Wide Awake versus under Sedation vol.142, pp.6, 2014, https://doi.org/10.1097/prs.0000000000004983
  12. Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet vol.46, pp.10, 2014, https://doi.org/10.1177/0300060518793036
  13. Wide-Awake Hand Surgery : Principles and Techniques vol.6, pp.5, 2018, https://doi.org/10.2106/jbjs.rvw.17.00142
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  17. Functional and Quality of Life Outcomes of a Hand Surgery Mission to Honduras vol.13, pp.3, 2014, https://doi.org/10.1177/1558944717704515
  18. Novel Axillary Block Management for Tendon Transfer Surgery : A Case Report vol.12, pp.12, 2014, https://doi.org/10.1213/xaa.0000000000000954
  19. Comparison of Wide-Awake Local Anesthesia No Tourniquet With General Anesthesia With Tourniquet for Volar Plating of Distal Radius Fracture vol.42, pp.1, 2014, https://doi.org/10.3928/01477447-20181206-01
  20. The safety of one-per-mil tumescent infiltration into tissue that has survived ischemia vol.46, pp.2, 2019, https://doi.org/10.5999/aps.2018.00248
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  22. Wide-Awake Local Anesthesia No Tourniquet (WALANT) versus Local or Intravenous Regional Anesthesia with Tourniquet in Atraumatic Hand Cases in Orthopedics: A Systematic Review and Meta-Analysis vol.24, pp.4, 2014, https://doi.org/10.1142/s2424835519500619
  23. Utility of local anesthesia for open carpal tunnel release in patients with psychiatric diagnoses vol.23, pp.None, 2020, https://doi.org/10.1016/j.jpra.2019.10.002
  24. Ultrasound (US) Changes in the Median Nerve Cross‐Sectional Area After Microinvasive US‐Guided Carpal Tunnel Release vol.39, pp.4, 2020, https://doi.org/10.1002/jum.15146
  25. Plating of clavicle fracture using the wide-awake technique vol.29, pp.11, 2014, https://doi.org/10.1016/j.jse.2020.03.003
  26. Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome? vol.47, pp.6, 2014, https://doi.org/10.5999/aps.2020.01732
  27. Maintaining Access to Orthopaedic Surgery During Periods of Operating Room Resource Constraint: Expanded Use of Wide-Awake Surgery During the COVID-19 Pandemic vol.4, pp.12, 2014, https://doi.org/10.5435/jaaosglobal-d-20-00100
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