Use of Wide-Awake Local Anaesthetic No Tourniquet (WALANT) in upper limb and hand surgery: A systematic review protocol

IF 1.1 Q3 SURGERY International Journal of Surgery Protocols Pub Date : 2020-01-01 DOI:10.1016/j.isjp.2020.03.001

Niamh O'Neill, Ali Abdall-Razak, Emma Norton, Aneeta Kumar, Heer Shah, Harman Khatkar, Zaid Alsafi, Riaz Agha

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引用次数: 14

Abstract

Introduction

Wide Awake Local Anaesthetic No Tourniquet (WALANT) technique has been developed to eliminate tourniquet pain during upper limb and hand surgery whilst also improving utilisation of operating theatre time and inpatient stay, however inconclusive data still limits the techniques uptake. Here presents a protocol for a systematic review to collate findings to produce conclusive data on efficacy of WALANT.

Methods

This systematic review will be registered a priori. All study designs defined by the Oxford Centre for Evidence-Based Medicine will be included in the search. “WALANT” in “upper limb” and “hand” surgery will be investigated as per the devised search strategy. 18 electronic databases will be searched, including PubMed, Medline and Embase in addition to a Grey literature search. Two independent teams of 3 researchers will screen all relevant titles, abstracts and subsequent full texts for suitability. Data will be extrapolated and entered into a preformatted database for analysis.

Ethics and dissemination

This systematic review will be published in a peer-reviewed journal and presented at both national and international conferences within the field of plastic and orthopaedic surgery. This review aims to inform surgical practice and policy.

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广角清醒局麻无止血带(WALANT)在上肢和手部手术中的应用:一项系统回顾方案

全面清醒局部麻醉无止血带(WALANT)技术已经开发出来，以消除上肢和手部手术期间的止血带疼痛，同时也提高了手术室时间和住院时间的利用率，然而不确定的数据仍然限制了技术的采用。这里提出了一个系统评价的方案，以整理研究结果，以产生关于WALANT疗效的结论性数据。方法本系统评价采用先验注册。所有由牛津循证医学中心定义的研究设计都将被纳入搜索。“上肢”和“手部”手术中的“WALANT”将按照设计的搜索策略进行调查。18个电子数据库将被检索，包括PubMed, Medline和Embase以及灰色文献检索。由3名研究人员组成的两个独立小组将筛选所有相关标题、摘要和随后的全文是否合适。数据将被推断并输入一个预先格式化的数据库进行分析。伦理和传播本系统综述将发表在同行评议的期刊上，并在整形和矫形外科领域的国内和国际会议上发表。本综述旨在为外科实践和政策提供参考。

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International Journal of Surgery Protocols SURGERY-

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期刊介绍： IJS Protocols is the first peer-reviewed, international, open access journal seeking to publish research protocols across across the full breadth of the surgical field. We are aim to provide rapid submission to decision times whilst maintaining a high quality peer-review process.