Optimization of Carpal Tunnel Syndrome Using WALANT Method

Abstract

As surgical management of carpal tunnel release (CTR) becomes ever more common, extensive research has emerged to optimize the contextualization of this procedure. In particular, CTR under the wide-awake, local-anesthesia, no-tourniquet (WALANT) technique has emerged as a cost-effective, safe, and straightforward option for the millions who undergo this procedure worldwide. CTR under WALANT is associated with considerable cost savings and workflow efficiencies; it can be safely and effectively executed in an outpatient clinic under field sterility with less use of resources and production of waste, and it has consistently demonstrated standard or better post-operative pain control and satisfaction among patients. In this review of the literature, we describe the current findings on CTR using the WALANT technique.

Low-Income, Poor Physical Health, Poor Mental Health, and Other Social Risk Factors Are Associated With Decreased Access to Care in Patients With Carpal Tunnel Syndrome

“… 29 , 30 In addition, WALANT CTR has been shown to be more cost-effective with a myriad of direct saved costs. 31 - 33 By increasing usage and availability of this variant of CTR, low-income patients may have improved access to definitive treatment for CTS.…”

Karpal tünel sendromunun lokal anestezi ile yapılan cerrahi tedavisinin sonuçları: turnikeli ve turnikesiz yapılan ameliyatların karşılaştırılması

“…CTS surgery with LA without tourniquet use has become popular in the last decade. Many centers use epinephrine in combination with local anesthetic to secure a blood-free surgical field through vasoconstriction (Wide awake local anesthesia no tourniquet (WALANT) technique) [9,14,28]. However, because epinephrine administration creates a more acidic solution, it irritates the tissue and causes a burning sensation [27].…”

“…In addition, its optimal effect of providing maximal vasoconstriction and hemostasis in the surgical field has been proven to take effect/last >25 min after local injection [10]. This prolongs the surgical time and adversely affects efficacy and cost savings in outpatient surgical cases [8,14,28].…”

Ventajas Y Desventajas De Walant en Cirugías Ortopédicas De Mano Y Muñeca.

“…Los beneficios específicos de utilizar WALANT en esta cirugía incluyen una recuperación más rápida, menor riesgo de complicaciones relacionadas con la anestesia, menor dolor postoperatorio y una reducción significativa en los costos asociados con la cirugía. (8). han reportado resultados favorables en la literatura, incluyendo tasas de éxito comparables a las de la anestesia regional o general, así como una menor incidencia de complicaciones postoperatorias.…”