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Incorporating Office-Based Surgery Into Your Practice With WALANT.

Emily Tan1, H Brent Bamberger1, James Saucedo2

  • 1Kettering Health Network, Dayton, OH.

The Journal of Hand Surgery
|August 26, 2020
PubMed
Summary

Office-based surgery (OBS) using wide-awake local anesthesia no tourniquet (WALANT) offers a safe, cost-effective, and convenient care model. This article addresses practical implementation challenges for OBS, including setup, contracts, and liability.

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Area of Science:

  • Surgical Innovation
  • Ambulatory Care
  • Anesthesiology

Background:

  • Office-based surgery (OBS) is an evolving care model.
  • Wide-awake local anesthesia no tourniquet (WALANT) is a growing surgical technique.
  • Ambulatory care centers remain the predominant setting for hand surgery in North America.

Purpose of the Study:

  • To discuss the practical aspects of implementing OBS with WALANT.
  • To provide guidance on the clinical setup and workflows for OBS.
  • To address contract negotiation and liability management for OBS.

Main Methods:

  • Review of current practices in office-based surgery.
  • Discussion of clinical workflows for WALANT procedures.
  • Analysis of administrative and legal considerations for OBS implementation.
Keywords:
Office surgeryWALANTpractice management

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Main Results:

  • OBS with WALANT presents a viable alternative to traditional settings.
  • Successful implementation requires attention to clinical setup and workflow optimization.
  • Contractual and liability issues are key factors for widespread adoption.

Conclusions:

  • OBS with WALANT is a safe, cost-effective, and convenient surgical model.
  • Addressing practical implementation challenges is crucial for expanding WALANT adoption.
  • This approach enhances patient and provider convenience in hand surgery.