Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Fate-mapping infiltrating monocytes following experimental myocardial infarction revealsdifferentiation trajectories in the infarcted heart.

The Journal of clinical investigation·2026
Same author

KLF4 Promotes a KRT13+ Hillock-Like State in Lung Squamous Cell Carcinoma.

Cancer research·2026
Same author

Utilization Trends and Surgical Outcomes of Technology-Assisted Total Hip Arthroplasty in the United States From 2014 Through 2024.

Arthroplasty today·2026
Same author

The value of a preoperative physical therapy and home evaluation program in total joint arthroplasty.

Archives of orthopaedic and trauma surgery·2026
Same author

Targeting modulated vascular smooth muscle cells in atherosclerosis via FAP-directed immunotherapy.

Science (New York, N.Y.)·2026
Same author

ipRGC properties prevent light from shifting the SCN clock during daytime.

Nature·2026

Related Experiment Video

Updated: Mar 7, 2026

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery
12:04

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Published on: January 6, 2011

13.6K

Wide Awake Hand Surgery.

Matthew Cantlon, Steven Yang

    Bulletin of the Hospital for Joint Disease (2013)
    |February 20, 2017
    PubMed
    Summary

    Wide awake hand surgery uses local anesthesia with epinephrine, eliminating tourniquets for safer, more efficient procedures. This approach enhances patient outcomes, especially in surgeries requiring active motion, and offers system-wide benefits.

    Area of Science:

    • Orthopedic Surgery
    • Anesthesiology
    • Hand Surgery

    Background:

    • Traditional hand surgery often relies on arm tourniquets and sedation.
    • Epinephrine in local anesthesia for hand procedures is traditionally cautioned against.
    • Eliminating tourniquets can improve surgical outcomes and patient experience.

    Purpose of the Study:

    • To evaluate the safety and efficacy of wide awake hand surgery using local-only anesthesia with epinephrine.
    • To highlight the advantages of avoiding arm tourniquets in specific hand surgeries.
    • To underscore the benefits of the wide awake approach for patients, providers, and healthcare systems.

    Main Methods:

    • Utilizing local-only anesthesia with low-dose epinephrine for hand and digital anesthesia.

    More Related Videos

    Author Spotlight: Advancing Upper Limb Rehabilitation in Patients with Right Hemisphere Damage Using Assisted Active Exercise
    04:43

    Author Spotlight: Advancing Upper Limb Rehabilitation in Patients with Right Hemisphere Damage Using Assisted Active Exercise

    Published on: February 9, 2024

    1.6K
    Metacarpal Small Incision for Carpal Tunnel Syndrome
    04:08

    Metacarpal Small Incision for Carpal Tunnel Syndrome

    Published on: April 5, 2024

    1.7K

    Related Experiment Videos

    Last Updated: Mar 7, 2026

    Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery
    12:04

    Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

    Published on: January 6, 2011

    13.6K
    Author Spotlight: Advancing Upper Limb Rehabilitation in Patients with Right Hemisphere Damage Using Assisted Active Exercise
    04:43

    Author Spotlight: Advancing Upper Limb Rehabilitation in Patients with Right Hemisphere Damage Using Assisted Active Exercise

    Published on: February 9, 2024

    1.6K
    Metacarpal Small Incision for Carpal Tunnel Syndrome
    04:08

    Metacarpal Small Incision for Carpal Tunnel Syndrome

    Published on: April 5, 2024

    1.7K
  • Performing surgeries, including tendon repairs and soft tissue releases, without an arm tourniquet.
  • Incorporating intraoperative active motion assessment to optimize surgical outcomes.

    • Main Results:

    • Epinephrine is demonstrated as safe for hand and digital anesthesia, contrary to some traditional beliefs.
    • Elimination of arm tourniquets reduces the need for sedation and general anesthesia.
    • The wide awake approach facilitates intraoperative active motion, optimizing outcomes for procedures like tendon repairs.

    Conclusions:

    • Wide awake hand surgery with local anesthesia and epinephrine is a safe and effective alternative to traditional methods.
    • This technique offers significant advantages by eliminating tourniquets, reducing sedation, and enabling active motion.
    • The approach provides efficiencies and cost savings, benefiting all stakeholders in healthcare.