Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction

This is a review article of the wide-awake approach to hand surgery. More than 95% of all hand surgery can now be performed without a tourniquet. Epinephrine is injected with lidocaine for hemostasis and anesthesia instead of a tourniquet and sedation. This is sedation-free surgery, much like a visi...

Descripción completa

Detalles Bibliográficos
Autores principales: Lalonde, Donald, Martin, Alison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2014
Materias:
Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113687/
https://www.ncbi.nlm.nih.gov/pubmed/25075350
http://dx.doi.org/10.5999/aps.2014.41.4.312
_version_ 1782328321988624384
author Lalonde, Donald
Martin, Alison
author_facet Lalonde, Donald
Martin, Alison
author_sort Lalonde, Donald
collection PubMed
description This is a review article of the wide-awake approach to hand surgery. More than 95% of all hand surgery can now be performed without a tourniquet. Epinephrine is injected with lidocaine for hemostasis and anesthesia instead of a tourniquet and sedation. This is sedation-free surgery, much like a visit to a dental office. The myth of danger of using epinephrine in the finger is reviewed. The wide awake technique is greatly improving results in tendon repair, tenolysis, and tendon transfer. Here, we will explain its advantages.
format Online
Article
Text
id pubmed-4113687
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The Korean Society of Plastic and Reconstructive Surgeons
record_format MEDLINE/PubMed
spelling pubmed-41136872014-07-29 Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction Lalonde, Donald Martin, Alison Arch Plast Surg Review Article This is a review article of the wide-awake approach to hand surgery. More than 95% of all hand surgery can now be performed without a tourniquet. Epinephrine is injected with lidocaine for hemostasis and anesthesia instead of a tourniquet and sedation. This is sedation-free surgery, much like a visit to a dental office. The myth of danger of using epinephrine in the finger is reviewed. The wide awake technique is greatly improving results in tendon repair, tenolysis, and tendon transfer. Here, we will explain its advantages. The Korean Society of Plastic and Reconstructive Surgeons 2014-07 2014-07-15 /pmc/articles/PMC4113687/ /pubmed/25075350 http://dx.doi.org/10.5999/aps.2014.41.4.312 Text en Copyright © 2014 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Lalonde, Donald
Martin, Alison
Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
title Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
title_full Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
title_fullStr Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
title_full_unstemmed Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
title_short Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction
title_sort tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113687/
https://www.ncbi.nlm.nih.gov/pubmed/25075350
http://dx.doi.org/10.5999/aps.2014.41.4.312
work_keys_str_mv AT lalondedonald tumescentlocalanesthesiaforhandsurgeryimprovedresultscosteffectivenessandwideawakepatientsatisfaction
AT martinalison tumescentlocalanesthesiaforhandsurgeryimprovedresultscosteffectivenessandwideawakepatientsatisfaction

Ejemplares similares