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Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study

This prospective case-control study aimed to compare the intraoperative hemodynamic changes between the wide-awake local anesthesia no tourniquet (WALANT) technique and general anesthesia (GA) in patients undergoing distal radius plating surgery. Forty adults with distal radius fractures underwent p...

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Autores principales: Liu, Wen-Chih, Lu, I-Cheng, Chang, Chung-Chia, Chen, Chih-Ting, Chen, Chung-Hwan, Shih, Chia-Lung, Fu, Yin-Chih, Jupiter, Jesse Bernard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8875852/
https://www.ncbi.nlm.nih.gov/pubmed/35207401
http://dx.doi.org/10.3390/jcm11041123
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author Liu, Wen-Chih
Lu, I-Cheng
Chang, Chung-Chia
Chen, Chih-Ting
Chen, Chung-Hwan
Shih, Chia-Lung
Fu, Yin-Chih
Jupiter, Jesse Bernard
author_facet Liu, Wen-Chih
Lu, I-Cheng
Chang, Chung-Chia
Chen, Chih-Ting
Chen, Chung-Hwan
Shih, Chia-Lung
Fu, Yin-Chih
Jupiter, Jesse Bernard
author_sort Liu, Wen-Chih
collection PubMed
description This prospective case-control study aimed to compare the intraoperative hemodynamic changes between the wide-awake local anesthesia no tourniquet (WALANT) technique and general anesthesia (GA) in patients undergoing distal radius plating surgery. Forty adults with distal radius fractures underwent plating surgery via the WALANT technique (20 patients) or GA (20 patients). Mean arterial pressure (MAP) and heart rate were recorded. Intraoperative pain intensity was measured using the visual analog scale (VAS) for pain in the WALANT group. The measures of hemodynamics and VAS were recorded at seven-time points perioperatively. The VAS score decreased significantly compared with the preoperative status in the WALANT group for most of the intraoperative period except during injections of local anesthetics and fracture reduction. The intraoperative MAP in the WALANT group showed no significant change during the perioperative period. In addition, the WALANT group showed fewer perioperative MAP fluctuations than the GA group (p < 0.05). The reduction and plating quality were similar between the two groups. WALANT provided a feasible technique with less fluctuation in hemodynamic status. With gentle manipulation of the fracture reduction, distal radius plating surgery using the WALANT technique is a well-tolerated surgical procedure and shows similar reduction and plating quality to GA.
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spelling pubmed-88758522022-02-26 Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study Liu, Wen-Chih Lu, I-Cheng Chang, Chung-Chia Chen, Chih-Ting Chen, Chung-Hwan Shih, Chia-Lung Fu, Yin-Chih Jupiter, Jesse Bernard J Clin Med Article This prospective case-control study aimed to compare the intraoperative hemodynamic changes between the wide-awake local anesthesia no tourniquet (WALANT) technique and general anesthesia (GA) in patients undergoing distal radius plating surgery. Forty adults with distal radius fractures underwent plating surgery via the WALANT technique (20 patients) or GA (20 patients). Mean arterial pressure (MAP) and heart rate were recorded. Intraoperative pain intensity was measured using the visual analog scale (VAS) for pain in the WALANT group. The measures of hemodynamics and VAS were recorded at seven-time points perioperatively. The VAS score decreased significantly compared with the preoperative status in the WALANT group for most of the intraoperative period except during injections of local anesthetics and fracture reduction. The intraoperative MAP in the WALANT group showed no significant change during the perioperative period. In addition, the WALANT group showed fewer perioperative MAP fluctuations than the GA group (p < 0.05). The reduction and plating quality were similar between the two groups. WALANT provided a feasible technique with less fluctuation in hemodynamic status. With gentle manipulation of the fracture reduction, distal radius plating surgery using the WALANT technique is a well-tolerated surgical procedure and shows similar reduction and plating quality to GA. MDPI 2022-02-21 /pmc/articles/PMC8875852/ /pubmed/35207401 http://dx.doi.org/10.3390/jcm11041123 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Wen-Chih
Lu, I-Cheng
Chang, Chung-Chia
Chen, Chih-Ting
Chen, Chung-Hwan
Shih, Chia-Lung
Fu, Yin-Chih
Jupiter, Jesse Bernard
Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study
title Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study
title_full Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study
title_fullStr Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study
title_full_unstemmed Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study
title_short Less Fluctuation in Hemodynamics of the Wide-Awake Local Anesthesia No Tourniquet Technique Than General Anesthesia in Distal Radius Plating Surgery: A Prospective Case-Control Study
title_sort less fluctuation in hemodynamics of the wide-awake local anesthesia no tourniquet technique than general anesthesia in distal radius plating surgery: a prospective case-control study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8875852/
https://www.ncbi.nlm.nih.gov/pubmed/35207401
http://dx.doi.org/10.3390/jcm11041123
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