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.
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页数：7
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