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

页数：7

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