Wide-Awake Local Anesthesia, No Tourniquet Surgery in the Philippines

Estrella, Emmanuel P.; Orillaza, Nathaniel S.

doi:10.1016/j.jhsg.2022.08.005

Journal of Hand Surgery Global Online

2022

DOI: 10.1016/j.jhsg.2022.08.005

|View full text |Cite

Wide-Awake Local Anesthesia, No Tourniquet Surgery in the Philippines

Emmanuel P. Estrella

Nathaniel S. Orillaza²

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

New Frontiers in Wide-Awake Surgery

Lalonde,

Gruber,

Ahmad

et al. 2024

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Learning Objectives: After studying this article, the participant should be able to: 1. Explain the most important benefits of wide-awake surgery to patients. 2. Tumesce large parts of the body with minimal pain local anesthesia injection technique to eliminate the need for sedation for many operations. 3. Apply tourniquet-free surgery to upper and lower limb operations to avoid the sedation required to tolerate tourniquet pain. 4. Move many procedures out of the main operating room to minor procedure rooms with no increase in infection rates to decrease unnecessary cost and solid waste in surgery. Summary: Three disruptive innovations are changing the landscape of surgery: (1) minimally painful injection of large-volume, low-concentration tumescent local anesthesia eliminates the need for sedation for many procedures over the entire body; (2) epinephrine vasoconstriction in tumescent local anesthesia is a good alternative to the tourniquet and proximal nerve blocks in extremity surgery (sedation for tourniquet pain is no longer required for many procedures); and (3) evidence-based sterility and the elimination of sedation enable many larger procedures to move out of the main operating room into minor procedure rooms with no increase in infection rates. This continuing medical education article explores some of the new frontiers in which these changes affect surgery all over the body.

show abstract

New Frontiers in Wide-Awake Surgery

Lalonde,

Gruber,

Ahmad

et al. 2024

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Wide-Awake Local Anesthesia, No Tourniquet Surgery in the Philippines

Cited by 1 publication

References 13 publications

New Frontiers in Wide-Awake Surgery

New Frontiers in Wide-Awake Surgery

Contact Info

Product

Resources

About