WALANT Special Issue
Safety of Lidocaine During Wide-Awake Local Anesthesia No Tourniquet for Distal Radius PlatingThis study evaluated the clinical and biochemical safety profile of infiltration of lidocaine with adrenaline in wide-awake local anesthesia no tourniquet for distal radius plating.
WALANT: Past, Present and the FutureIn the last decade, WALANT (Wide-awake Local Anaesthesia No Tourniquet) surgery has been widely utilized globally with an exponential increase in publications.1,2 Yet, the myth of adrenaline causing finger ischaemia is still strong and prevalent despite numerous publications. It is only in hand and microsurgery and perhaps in orthopaedic and plastic surgery where WALANT predominates otherwise in other areas of medicine, the taboo is still strong.
Prospective Evaluation of Pain and Anxiety Levels Between Wide-Awake Local Anesthesia No Tourniquet and General Anesthesia With Tourniquet in Excision of Wrist GanglionsExcision of wrist ganglions is a common procedure in hand surgery. Our objective was to determine whether the type of anesthesia (general anesthesia [GA] vs wide-awake local anesthesia no tourniquet [WALANT] technique) would affect patient satisfaction regarding intraoperative pain control, postoperative pain management, and anxiety.
Technique of Wide-Awake Local Anesthesia No Tourniquet Injection for a Transradial Forearm Amputation in an Ischemic HandA 48-year-old man with drug addiction presented with gangrene of the right hand following an inadvertent intra-arterial administration of crushed dihydrocodeine tartrate (DF 118) tablets (GlaxoSmithKline S.A.) dissolved in water; the solution was injected into his right antecubital fossa. After 3 weeks of pain, paresthesia, and cyanosis, his right hand became gangrenous. We performed a right forearm amputation by use of the wide-awake local anesthesia no tourniquet technique. After surgery, his wound healed well, and he was successfully fitted with a hand prosthesis.