在门诊手术中真的需要WALANT吗?
Guido Bocchino1,2, Silvia Pietramala1,2, Giacomo Capece1,2
1Department of Orthopaedics and Traumatology, Fondazione Policlinico A. Gemelli IRCCS, 00168 Rome, Italy.
Journal of personalized medicine
|January 24, 2025
概括
带带的局部麻醉为短期门诊手术提供了安全有效的替代方案,与Wide Awake Local Anesthesia No Tourniquet (WALANT) 技术相比,它是一个可行的选择. 这种方法挑战了WALANT的常规使用,表明量身定制的麻醉方法是可取的.
科学领域:
- 整形外科 整形外科 整形外科
- 麻醉学 麻醉学
- 手术手术手术手术手术
背景情况:
- 在门诊手部手术中,广泛使用的是Wide Awake局部麻醉无护 (WALANT) 技术.
- 沃兰特提供了诸如患者合作之类的好处,但有其局限性,包括一个的学习曲线和数字缺血等潜在风险.
- 这项研究调查了特定手部手术的替代麻醉方法.
研究的目的:
- 评估局部麻醉与短时间门诊手术的带结合的安全性和有效性.
- 为了比较这种技术与WALANT方法.
- 要确定用带进行局部麻醉是否适合于手腕道和触发指释放等手术的替代方案.
主要方法:
- 在2023年2月至2024年3月期间,300名患者接受了手管或触发指释放的病例系列.
- 患者接受了局部麻醉 (利多卡因) 用近端手臂轮.
- 收集的数据包括人口统计,手术时间和使用视觉模拟量表 (VAS) 的疼痛水平.
主要成果:
- 平均手术时间为12分钟,大多数病例是手腕道释放.
- 平均VAS疼痛得分为3.73,老年患者和较长的手术报告的得分更高.
- 由于患者的不适而拆除护并不常见,仅发生在1%的病例中.
结论:
- 用带进行局部麻醉是短期门诊手术的安全有效选择.
- 这种技术为WALANT技术提供了一个切实可行的替代方案.
- 这些发现表明,在手术中需要基于手术持续时间和患者因素的个性化麻醉策略.
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