WIDE-AWAKE HAND SURGERY Principles and Techniques

被引：8
|
作者：
Warrender, William J. [1 ,2 ]
Lucasti, Christopher J. [1 ,3 ]
Ilyas, Asif M. [1 ,4 ]
机构：
[1] Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
[3] Sidney Kimmel Med Coll, Philadelphia, PA USA
[4] Rothman Inst, Philadelphia, PA USA
来源：
JBJS REVIEWS | 2018年 / 6卷 / 05期
关键词：
D O I：
10.2106/JBJS.RVW.17.00142
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Wide-awake hand surgery is both safe and effective for a multitude of common hand surgical procedures. Wide-awake hand surgery provides the advantages of convenience and cost savings by avoiding preoperative testing and clearances and intraoperative anesthesia. The use of epinephrine as a vasoconstrictive agent is considered safe. Phentolamine can be used as a reversal agent in the event of an adverse reaction to epinephrine. Other agents, such as phenoxybenzamine and terbutaline, can also be utilized. Patients undergoing wide-awake hand surgery have improved satisfaction and decreased pain.
引用
收藏
页数：7
相关论文
共 50 条
  • [1] The Canadian Model for Instituting Wide-Awake Hand Surgery in Our Hospitals
    Wheelock, Margie
    Petropolis, Christian
    Lalonde, Donald H.
    HAND CLINICS, 2019, 35 (01) : 21 - +
  • [2] Digital revascularization and replantation using the wide-awake hand surgery technique
    Wong, J. K. F.
    Lin, C. H.
    Chang, N. J.
    Chen, H. C.
    Lin, Y. T.
    Hsu, C. C.
    JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2017, 42 (06) : 621 - 625
  • [3] Virtual teaching activities and wide-awake hand surgery in 2020 in China
    Tang, Jin Bo
    JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2021, 46 (02) : 219 - 221
  • [4] Wide-awake local anesthesia and temporary tourniquet for tendon surgery of the hand
    Miyashima, Yusuke
    Uemura, Takuya
    Konishi, Sadahiko
    Nakamura, Hiroaki
    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2021, 74 (07): : 1676 - 1679
  • [5] Adoption of the Wide-Awake Local Anesthesia No Tourniquet Technique in Hand Surgery
    Hearon, Bernard F.
    Isaacs-Pullins, Sharon R.
    Lalonde, Donald H.
    JBJS REVIEWS, 2023, 11 (07) : E1 - E9
  • [6] Use of Wide-awake Local Anesthesia No Tourniquet in Hand and Wrist Surgery
    Steiner, Murphy M.
    Calandruccio, James H.
    ORTHOPEDIC CLINICS OF NORTH AMERICA, 2018, 49 (01) : 63 - +
  • [7] New Frontiers in Wide-Awake Surgery
    Lalonde, Donald H.
    Gruber, Meegan M.
    Ahmad, Amir A.
    Langer, Martin F.
    Sepehripour, Sarvnaz
    PLASTIC AND RECONSTRUCTIVE SURGERY, 2024, 153 (06) : 1212e - 1223e
  • [8] Practice in Wide-Awake Hand Surgery Differences Between United Kingdom and Cyprus
    Kritiotis, Constantinos
    Phillips, Alistair
    Muir, Lindsay
    Naqui, Zafar
    HAND CLINICS, 2019, 35 (01) : 43 - +
  • [9] Assessing the Necessity of Stopping Antithrombotic Agents Before Wide-Awake Hand Surgery
    Sasor, Sarah E.
    Evans, Tyler A.
    Cook, Julia A.
    Lucich, Elizabeth A.
    Wooden, William A.
    Tholpady, Sunil S.
    Chu, Michael W.
    JAMA SURGERY, 2018, 153 (03) : 284 - 285
  • [10] Wide-Awake Hand Trauma Surgery: Designing Strategies to Optimise Patient Experience
    Elzagh, Alaa
    Shah, Savan
    De Berker, Henry
    Reid, Adam J.
    Wong, Jason K.
    Bedford, James D.
    Amin, Kavit R.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (07)
12345