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.
Impact of WALANT Hand Surgery in a Secondary Care Hospital in Spain. Benefits to the Patient and the Health SystemThe aim of this study is to compare patient benefits and economic costs of hand surgeries using the wide-awake local anesthesia no tourniquet (WALANT) technique versus a conventional major outpatient suite and review outcomes and complications in a series of cases of patients operated on using the WALANT technique.
Wide-Awake Hand Surgery Experience in Patients 10 to 18 Years of AgeWe investigated the frequency of wide-awake local anesthesia no tourniquet (WALANT) use for hand surgery in the a 10- to 18-year–old age group and patients’ experiences.
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.
The Brazilian Perspective of WALANT in Fracture Fixation From the Hand to the ElbowThe wide-awake local anesthesia no tourniquet (WALANT) technique is currently being used by several hand surgeons. This technique enables surgeries to be performed with the patient fully awake and without a tourniquet, thus allowing the intraoperative assessment of function. The purpose of this article was to describe our WALANT techniques for metacarpal, scaphoid, distal radius, radial head, and olecranon fracture fixation with its pearls and pitfalls. The authors demonstrate their infiltration technique, detailing how to perform it using lidocaine with 1:100,000 epinephrine and 8.4% sodium bicarbonate.