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Wide-awake (WA) anesthesia combined with Lean and Green hand surgery in an office setting is safe and cost-effective. This approach significantly reduces waste and achieves high patient satisfaction.

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Area of Science:

  • Orthopedic Surgery
  • Anesthesiology
  • Health Policy and Management

Background:

  • Wide-awake (WA) anesthesia is a safe and effective anesthetic technique for various surgical procedures.
  • Lean and Green surgical principles aim to reduce waste, decrease costs, and improve efficiency in healthcare settings.
  • Combining WA anesthesia with Lean and Green practices offers potential benefits for hand surgery.

Purpose of the Study:

  • To evaluate the safety, cost-effectiveness, and patient satisfaction of combining WA anesthesia with Lean and Green principles in an office-based hand surgery setting.
  • To assess complications, cost savings, and waste reduction associated with this combined approach.
  • To review a single surgeon's experience over a 12-month period.

Main Methods:

  • Retrospective chart review of 437 office-based hand surgery cases.
  • Analysis of infection rates, need for secondary procedures, patient satisfaction scores, and cost/waste savings.
  • Utilization of custom Lean and Green surgical packs.

Main Results:

  • An overall infection rate of 5% (all superficial and treated with oral antibiotics).
  • No deep infections or secondary procedures were reported.
  • Significant cost savings of $4,650 and waste reduction of 1.1 tons were achieved using Lean and Green surgical packs.
  • High patient satisfaction: 99% rated the experience favorably, would recommend, and would undergo the procedure again.

Conclusions:

  • Office-based hand surgery utilizing WA anesthesia and Lean and Green principles is a safe, cost-effective, and environmentally sound option.
  • This integrated approach leads to substantial cost and waste reduction while maintaining high patient satisfaction.