Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)/tourniquet

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Wide awake local anaesthesia no tourniquet technique (WALANT)

Until recently most hand surgeries was performed with a tourniquet to provide better visibility. The discomfort of the tourniquet is very unpleasant and unnecessary for patients. To avoid this, we have traditionally relied on an anesthesiologist to give sedation, brachial plexus or Bier block, or general anesthesia. A good alternative to traditional tourniquet hand surgery is to use only 2 medi...

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A nulliparous non-descript mare was presented with a complaint of dystocia. The mare was recumbent and physical examination revealed that the animal was in shock. There was no straining and foetal forelimbs were visible outside the vulva. The foetus was dead as there was no pedal reflex. Vaginal examination revealed anterior presentation with dorso-sacral position and rigid lateral head deviati...

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Local versus general anaesthesia for carotid endarterectomy.

BACKGROUND Carotid endarterectomy reduces the risk of stroke in people with recently symptomatic, severe carotid artery stenosis. However, there are significant perioperative risks which may be lessened by performing the operation under local rather than general anaesthetic. This is an update of a Cochrane review first published in 1996, and previously updated in 2004. OBJECTIVES To assess th...

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Achieving the optimal epinephrine effect in wide awake hand surgery using local anesthesia without a tourniquet.

BACKGROUND In our experience, for all surgeries in the hand, the optimal epinephrine effect from local anesthesia-producing maximal vasoconstriction and visualization-is achieved by waiting significantly longer than the traditionally quoted 7 min from the time of injection. METHODS In this prospective comparative study, healthy patients undergoing unilateral carpal tunnel surgery waited eithe...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2017

ISSN: 2309-4990,2309-4990

DOI: 10.1177/2309499017739499