WALANT for hand wound exploration in isolated conditions: Feasibility study

Claudic, Yannis; Letissier, Hoël; Perruisseau-Carrier, Anne; Hu, Weiguo; Nen, D. Le; Andro, C.

doi:10.1016/j.otsr.2023.103551

Cited by 3 publications

(1 citation statement)

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“…Improved access to surgical care has been well documented (38). Additionally, the patient does not need to be sober, so the technique can be used in urgent, isolated conditions or unplanned settings (39,40). Epinephrine minimizes bleeding and facilitates operating on patients without stopping anticoagulant medications (41).…”

Section: Local Anesthesia: the Numbness Is Administeredmentioning

confidence: 99%

WALANT surgery of the hand: state of the art

Degreef,

Lalonde

2024

EFORT Open Reviews

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Wide-awake local anesthesia no tourniquet is named the WALANT technique. WALANT has had a major positive impact on cost, convenience, ecology, patient satisfaction, access to surgical care, and outcomes in hand surgery in the last 20 years. Safe and efficient application of the technique is based on two principles. The first principle is the tumescent injection of a large volume low concentration 0.25–1% lidocaine, with 1:100 000–1:400 000 epinephrine. The second principle of WALANT is that the proper injection should be almost painless, with the patient only feeling the first needle poke of a tiny 30G needle. This wide awake patient approach reduces pain, neuropraxia, and systemic side effects of sedation with preservation of motor control, thereby aiding balanced reconstruction in hand surgery.

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Section: Local Anesthesia: the Numbness Is Administeredmentioning

confidence: 99%