Maria do Rosario Saraiva, Olalla Saiz Vázquez, Juan Hilario Ortiz-Huerta, Montserrat Santamaría-Vázquez
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This study aims to carry out a systematic review to determine whether the WALANT technique is an advantageous alternative to conventional anaesthesia for surgical procedures on thumb injuries, in terms of patient function and pain.</p><p><strong>Method: </strong>We conducted a search in the following databases: Pubmed/Medline, EBSCOhost, Web of Science, Scopus, ScienceDirect and Google Scholar, using the equation \"WALANT\" OR \"Wide Awake Local Anesthesia No Tourniquet\" AND \"thumb pathology\".</p><p><strong>Results: </strong>In five of the 584 articles included, two studied trapeziometacarpal osteoarthritis, one De Quervain's disease and the remaining two flexor injuries. WALANT showed good results in active movements, but with similar levels of pain between anaesthetics. Patients were more anxious during general anaesthesia, plus the fact that they were fasting and suspending medication.</p><p><strong>Conclusion: </strong>WALANT is a convenient and favourable option in several studies. It has been demonstrated the benefits in terms of return to function and pain.</p>","PeriodicalId":12064,"journal":{"name":"European Journal of Trauma and Emergency Surgery","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The wide-awake local anesthesia no tourniquet (WALANT) technique in thumb injuries: a systematic review.\",\"authors\":\"Maria do Rosario Saraiva, Olalla Saiz Vázquez, Juan Hilario Ortiz-Huerta, Montserrat Santamaría-Vázquez\",\"doi\":\"10.1007/s00068-024-02579-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Human hands have a complex anatomical structure. 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Patients were more anxious during general anaesthesia, plus the fact that they were fasting and suspending medication.</p><p><strong>Conclusion: </strong>WALANT is a convenient and favourable option in several studies. 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引用次数: 0
摘要
人的双手具有复杂的解剖结构。拇指作为手部不可分割的一部分,具有抓握的重要功能。因此,拇指骨折占所有手部骨折的 4%(可能与斜方肌骨折同时发生)。大多数手部骨折应采用非手术治疗,外科医生必须避免不必要的手术。手部手术历来采用局部/区域/全身麻醉和止血带相结合的方法。本研究旨在开展一项系统性综述,以确定在拇指损伤的外科手术中,WALANT 技术在患者功能和疼痛方面是否比传统麻醉更具优势:我们在以下数据库中进行了搜索:方法:我们在以下数据库中进行了搜索:Pubmed/Medline、EBSCOhost、Web of Science、Scopus、ScienceDirect 和 Google Scholar,使用的等式为 "WALANT "或 "Wide Awake Local Anesthesia No Tourniquet "和 "拇指病理学":在收录的 584 篇文章中,有 5 篇研究了拇指骨关节炎,1 篇研究了 De Quervain 病,其余 2 篇研究了屈指肌损伤。WALANT在主动运动方面显示出良好的效果,但不同麻醉药的疼痛程度相似。病人在全身麻醉时更加焦虑,再加上他们禁食和暂停服药:结论:在多项研究中,WALANT 都是一种便捷而有利的选择。结论:在多项研究中,WALANT 都是一种便捷而有利的选择,它在恢复功能和减轻疼痛方面的优势已得到证实。
The wide-awake local anesthesia no tourniquet (WALANT) technique in thumb injuries: a systematic review.
Human hands have a complex anatomical structure. The thumb, being an integral part of the hand, has an essential function in gripping. In this sense, thumb fractures account for 4% of all hand fractures (it may occur in association with fractures of the trapezium). The majority of hand fractures should be treated non-surgically and surgeons must avoid unnecessary surgery. Historically, hand surgery has used a combination of local/regional/general anaesthesia and a tourniquet. This study aims to carry out a systematic review to determine whether the WALANT technique is an advantageous alternative to conventional anaesthesia for surgical procedures on thumb injuries, in terms of patient function and pain.
Method: We conducted a search in the following databases: Pubmed/Medline, EBSCOhost, Web of Science, Scopus, ScienceDirect and Google Scholar, using the equation "WALANT" OR "Wide Awake Local Anesthesia No Tourniquet" AND "thumb pathology".
Results: In five of the 584 articles included, two studied trapeziometacarpal osteoarthritis, one De Quervain's disease and the remaining two flexor injuries. WALANT showed good results in active movements, but with similar levels of pain between anaesthetics. Patients were more anxious during general anaesthesia, plus the fact that they were fasting and suspending medication.
Conclusion: WALANT is a convenient and favourable option in several studies. It has been demonstrated the benefits in terms of return to function and pain.
期刊介绍:
The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries.
Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.