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Wide Awake Local Anesthesia No Tourniquet Technique in Hand Surgery: The Patient Experience
Matthew Pina1, Antonio Cusano1, Matthew R LeVasseur1
1University of Connecticut Health Center, Farmington, USA.
Hand (New York, N.Y.)
|December 7, 2021
Summary
Patients reported high satisfaction with wide awake, local anesthesia, with no tourniquet (WALANT) hand surgery, noting ease of preparation and faster recovery. Combination anesthetic use may improve pain control during initial recovery.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
Background:
- Wide awake, local anesthesia, with no tourniquet (WALANT) is an emerging technique for hand surgery.
- Evaluating patient satisfaction and outcomes is crucial for adopting new surgical approaches.
Purpose of the Study:
- To assess patient satisfaction and overall experience with WALANT hand surgery.
- To quantify surgery-related outcomes and patient-reported benefits.
Main Methods:
- Retrospective analysis of patient demographics and comorbidities.
- Collected pre- and postoperative Single Assessment Numeric Evaluation (SANE) scores.
- Administered postoperative surveys on anxiety, pain, and satisfaction.
Main Results:
- 97.7% of patients would undergo WALANT surgery again.
- Postoperative SANE scores improved compared to preoperative scores.
- Combination lidocaine and bupivacaine reduced pain scores compared to lidocaine alone.
Conclusions:
- WALANT hand surgery is well-tolerated with excellent outcomes.
- Patients value the ease of preparation, faster recovery, and lack of anesthetic side effects.
- Combination lidocaine and bupivacaine may offer superior pain control post-WALANT surgery.
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