Timed wake-up anaesthesia in hand: A modification to wide awake surgery of hand

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Timed wake-up anaesthesia in hand: A modification to wide awake surgery of hand

INTRODUCTION Wide awake surgery of the hand (WASH) is a well-accepted technique in hand surgery which allows the surgeon to identify and rectify on the table of some of the inadvertent shortcomings in the surgical procedures to optimise the final outcome. The advantage, however, precludes the use of tourniquet. We describe a modified method which preserves all the advantages of WASH and allows ...

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Wide Awake Hand Surgery

“Wide Awake Hand Surgery” is a small illustrated technical book written by Donald Lalonde, who is a professor at Dalhousie Medical School in New Brunswick, Canada. Dr. Lalonde has extensive expertise in hand surgery, with many years of experience using local anesthetics with epinephrine in surgery. This book is written in a simple, easy-to-understand manner; as the author states in the preface,...

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Dosage of local anesthesia in wide awake hand surgery.

O NE OF THE MORE NOTABLE recent changes in hand surgery is the method of delivery of the anesthesia. Similar to when they are having a dental procedure, patients who understand and are offered the wide awake alternative like the ideas of (1) no preoperative testing, (2) no tourniquet pain, (3) less time at the hospital to have the surgery, (4) the ability to speak to their surgeon during the su...

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Minimally invasive anesthesia in wide awake hand surgery.

Tumescent minimally invasive local anesthesia is eliminating the need for sedation and proximal nerve blocks as well as all of their risks, costs, and inconveniences. It has facilitated advances in procedures such as hand fracture reduction, tendon repair, and tendon transfer by allowing the surgeon to see cooperative patient active movement during the surgery. It has improved the patient exper...

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Wide-awake Hand and Wrist Surgery: A New Horizon in Outpatient Surgery.

There has been increased interest in and experience with performing several surgical procedures on the hand and the wrist utilizing local anesthesia in an unsedated patient. These surgical procedures can be safely performed on an outpatient basis. Experience has shown that the strategic use of local anesthesia with epinephrine is safe and, in procedures such as tendon repair or transfer, permit...

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ژورنال

عنوان ژورنال: Indian Journal of Plastic Surgery

سال: 2016

ISSN: 0970-0358,1998-376X

DOI: 10.4103/0970-0358.197221