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Evaluating patient satisfaction with WALANT for hand surgery: a comprehensive questionnaire-based study.

Ahmed Elsaftawy1, Patryk Ostrowski2,3, Michał Bonczar2,3

  • 1Department of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland. ahmed.elsaftawy05@gmail.com.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|June 13, 2024
PubMed
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The wide-awake local anesthesia no-tourniquet (WALANT) procedure shows high patient satisfaction for upper limb surgeries. While hypertension had no impact, diabetic patients reported increased anxiety, yet overall satisfaction remained high across diverse procedures.

Area of Science:

  • Orthopedic Surgery
  • Anesthesiology
  • Patient Outcomes

Background:

  • The wide-awake local anesthesia no-tourniquet (WALANT) technique is increasingly adopted for upper limb surgeries.
  • Patient satisfaction is a crucial metric for evaluating surgical procedures.

Purpose of the Study:

  • To comprehensively analyze patient satisfaction with the WALANT procedure for upper limb surgeries.
  • To investigate the influence of patient demographics and comorbidities on satisfaction levels.

Main Methods:

  • A retrospective cohort study of 106 patients undergoing hand surgery between 2018 and 2023.
  • Satisfaction assessed via a 13-statement questionnaire using a Swiss grading system (1=strongly agree, 6=strongly disagree).

Main Results:

Keywords:
AnesthesiaHand surgeryOrthopedicsSurgeryWALANT

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  • Overall patient satisfaction with WALANT was high.
  • Hypertension did not significantly affect satisfaction levels.
  • Diabetic patients reported significantly higher anxiety during the procedure (p>0.05).

Conclusions:

  • WALANT is a versatile and effective anesthesia option for various hand and upper limb surgeries.
  • High patient satisfaction is consistently observed, even in patients with comorbidities.
  • The procedure demonstrates reliability and positive outcomes across a broad patient population.