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REVISTA DE CHIMIE
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https://doi.org/10.37358/Rev.Chim.1949

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Revista de Chimie (Rev. Chim.), Year 2019, Volume 70, Issue 10, 3587-3591

https://doi.org/10.37358/RC.19.10.7602

Mihaela Pertea, Oxana Madalina Grosu, Bogdan Veliceasa, Natalia Velenciuc, Petru Ciobanu, Razvan Tudor, Vladimir Poroch, Sorinel Lunca

Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery

Abstract:

The aim of the study was to confirm the effectiveness and safety of wide awake local anesthesia no tourniquet (WALANT) technique in hand surgery, to present our results and to encourage its use on Romania and all over the world. The study group consisted of 120 patients in which local anesthesia with 1% lidocaine and 1: 100,000 epinephrine solution was used. The conditions requiring surgery were Dupuytren disease (DD) stages II and III affecting one or two digital rays, carpal tunnel syndrome (CTS), trigger finger (TF), rupture of the flexor pollicis longus (FPL) tendon. The amount of anesthetic used, onset time, intraoperative bleeding, surgeon’s comfort during surgery, patient’s comfort, operative time, the immediate postoperative complications and length of hospital stay were evaluated, correlations between these parameters being made with the help of SPSS 20.0 software using regressions (ANOVA), and taking into account Pearson correlation coefficients with statistical significance, alpha at most .05 and CI 95%. In the group of 120 operated patients (58 men - M and 62 female -F) (M/F ratio = 0.93), no cases of digital necrosis or other vascular complications were recorded. Also, the absence of tourniquets did not result in intraoperative bleeding causing discomfort to the surgeon. The amount of anesthetic varied, being less than that recommended in the literature in approximately 40% of the cases. In all cases, patient comfort and satisfaction were highest, and length of hospital stay was several hours. Phentolamine, an antidote used to reverse the effects of epinephrine, was not used in any case. The correlation coefficient between the amount of anesthetic and waiting time = 0.3372 (p = 0.0001) - positive, direct, moderate, and statistically significant correlation. The correlation coefficient between the amount of anesthetic and length of hospital stay = 0.2700 (p = 0.002) - positive, direct, weak and statistically significant correlation. Correlation coefficient between age and length of hospital stay = 0.1361 (p = 0.1380) - positive, direct, weak correlation, but statistically insignificant. WALANT technique is safe and has many advantages: no need it is not necessary to use the tourniquet and intravenous sedation, surgeon and patient comfort is maximum, there is no risk of finger necrosis, intraoperative collaboration and last but not the least, hospital stay is short and costs are minimal.
Keywords:
local anesthesia; epinephrine; Dupuytren disease (DD); carpal tunnel syndrome (CTS); trigger finger (TF)

Issue: 2019, Volume 70, Issue 10
Pages: 3587-3591
Publication date: 2019/11/15
https://doi.org/10.37358/RC.19.10.7602
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Creative Commons License
This article is published under the Creative Commons Attribution 4.0 International License
Citation Styles
Cite this article as:
PERTEA, M., GROSU, O.M., VELICEASA, B., VELENCIUC, N., CIOBANU, P., TUDOR, R., POROCH, V., LUNCA, S., Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery, Rev. Chim., 70(10), 2019, 3587-3591.

Vancouver
Pertea M, Grosu OM, Veliceasa B, Velenciuc N, Ciobanu P, Tudor R, Poroch V, Lunca S. Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery. Rev. Chim.[internet]. 2019 Oct;70(10):3587-3591. Available from: https://doi.org/10.37358/RC.19.10.7602


APA 6th edition
Pertea, M., Grosu, O.M., Veliceasa, B., Velenciuc, N., Ciobanu, P., Tudor, R., Poroch, V. & Lunca, S. (2019). Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery. Revista de Chimie, 70(10), 3587-3591. https://doi.org/10.37358/RC.19.10.7602


Harvard
Pertea, M., Grosu, O.M., Veliceasa, B., Velenciuc, N., Ciobanu, P., Tudor, R., Poroch, V., Lunca, S. (2019). 'Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery', Revista de Chimie, 70(10), pp. 3587-3591. https://doi.org/10.37358/RC.19.10.7602


IEEE
M. Pertea, O.M. Grosu, B. Veliceasa, N. Velenciuc, P. Ciobanu, R. Tudor, V. Poroch, S. Lunca, "Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery". Revista de Chimie, vol. 70, no. 10, pp. 3587-3591, 2019. [online]. https://doi.org/10.37358/RC.19.10.7602


Text
Mihaela Pertea, Oxana Madalina Grosu, Bogdan Veliceasa, Natalia Velenciuc, Petru Ciobanu, Razvan Tudor, Vladimir Poroch, Sorinel Lunca,
Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery,
Revista de Chimie,
Volume 70, Issue 10,
2019,
Pages 3587-3591,
ISSN 2668-8212,
https://doi.org/10.37358/RC.19.10.7602.
(https://revistadechimie.ro/Articles.asp?ID=7602)
Keywords: local anesthesia; epinephrine; Dupuytren disease (DD); carpal tunnel syndrome (CTS); trigger finger (TF)


RIS
TY - JOUR
T1 - Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery
A1 - Pertea, Mihaela
A2 - Grosu, Oxana Madalina
A3 - Veliceasa, Bogdan
A4 - Velenciuc, Natalia
A5 - Ciobanu, Petru
A6 - Tudor, Razvan
A7 - Poroch, Vladimir
A8 - Lunca, Sorinel
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2019
VL - 70
IS - 10
SP - 3587
EP - 3591
UR - https://doi.org/10.37358/RC.19.10.7602
KW - local anesthesia
KW - epinephrine
KW - Dupuytren disease (DD)
KW - carpal tunnel syndrome (CTS)
KW - trigger finger (TF)
ER -


BibTex
@article{RevCh2019P3587,
author = {Pertea Mihaela and Grosu Oxana Madalina and Veliceasa Bogdan and Velenciuc Natalia and Ciobanu Petru and Tudor Razvan and Poroch Vladimir and Lunca Sorinel},
title = {Effectiveness and Safety of Wide Awake Local Anesthesia no Tourniquet (WALANT) Technique in Hand Surgery},
journal = {Revista de Chimie},
volume = {70},
number = {10},
pages = {3587-3591},
year = {2019},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.19.10.7602},
url = {https://revistadechimie.ro/Articles.asp?ID=7602}
}
 
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