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Practice in Wide-Awake Hand Surgery: Differences Between United Kingdom and Cyprus
Constantinos Kritiotis1, Alistair Phillips2, Lindsay Muir3
1Manchester Hand Centre, Salford Royal NHS Foundation Trust, Manchester, UK; Iasis Private Hospital, 8 Voriou Ipirou Street, Paphos 8036, Cyprus.
Hand Clinics
|November 25, 2018
Summary
The wide-awake local anesthetic no tourniquet (WALANT) approach offers significant cost savings and shorter waiting times for hand surgery. Patient education is key to high satisfaction and improved surgical outcomes.
Area of Science:
- Orthopedics
- Hand Surgery
- Anesthesiology
Background:
- The wide-awake local anesthetic no tourniquet (WALANT) approach is increasingly adopted in surgical procedures.
- Previous studies highlight its benefits in specific healthcare systems.
Purpose of the Study:
- To evaluate the impact of WALANT implementation on cost savings, waiting times, and patient satisfaction in Cyprus and the United Kingdom.
- To emphasize the role of patient education in the success of WALANT procedures.
Main Methods:
- Comparative analysis of surgical outcomes and healthcare economics before and after WALANT implementation.
- Review of patient satisfaction surveys and waiting list data.
- Assessment of patient education protocols for WALANT surgery.
Main Results:
- WALANT implementation in Cyprus resulted in significant cost savings.
- In the United Kingdom, WALANT led to reduced waiting times for hand surgery, National Health Service cost savings, and high patient satisfaction.
- Effective patient education was identified as a crucial factor for successful WALANT adoption.
Conclusions:
- The WALANT approach provides substantial economic benefits and improves efficiency in hand surgery.
- Comprehensive patient education enhances satisfaction, strengthens the patient-surgeon relationship, and can positively influence surgical outcomes by enabling active patient participation.
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