The Negative Predictive Value of Typing Safe Local Anesthetics

Specjalski, Krzysztof; Kita-Milczarska, Karolina; Jassem, Ewa

doi:10.1159/000350763

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…Lidocaine is considered to have some cardiotoxic features, 20 and anaphylactic shock as a consequence of lidocaine use has also been described. 21 To prevent these adverse reactions, we kept the injected dosage within the “safe” range of 7 mg/kg.…”

Section: Discussionmentioning

confidence: 99%

Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet

2018

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ObjectiveThe use of wide-awake local anesthesia with no tourniquet (WALANT) is becoming an excellent alternative for elective hand surgeries and hand surgeries involving minor trauma. Although the use of WALANT for some soft tissue surgeries has become the state of the art, data regarding bony procedures, such as fracture management, under WALANT are limited. This study was performed to assess the WALANT technique for open reduction and internal fixation of distal radius fractures.MethodsFive patients with displaced distal radius fractures were enrolled in the study. WALANT was carried out about 30 minutes prior to the first incision. Surgery was performed in the normal fashion, and the fractures were fixed using anatomic locking plates. After surgery, the patients were admitted overnight for observation and pain assessment, and they were discharged within 24 hours postoperatively. Intraoperative and postoperative complications were recorded. Follow-up was performed in our outpatient clinic. No abnormalities were recorded.ResultsAll patients underwent a successful painless surgery. No extra bleeding or other complications were recorded.ConclusionThe WALANT technique offers a simple and safe alternative to traditional anesthetic techniques for open reduction and plating of distal radius fractures.

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Section: Discussionmentioning

confidence: 99%

Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet

2018

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“…Anteroposterior (AP) and lateral wrist radiographs were obtained for the radiographic evaluation of the bone union after 3 weeks, 6 weeks, and 12 weeks, in which the fracture gap disappeared on the AP and lateral views. The functional outcomes using the quick disabilities of the arm, shoulder, and hand (quick DASH) questionnaire [ 4 ] were evaluated 12 months postoperatively, and the maximum ROM at the wrist was also recorded at every OPD visit.…”

Section: Surgical Techniquementioning

confidence: 99%

The Efficacy of WALANT Technique in the Management of Distal End Radius Fracture – A Case Series

Sarode,

Chaudhary,

Sakharkar

et al. 2024

jocr

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Introduction: To improve hemostasis and visibility, a tourniquet was used throughout the majority of hand and wrist procedures, despite the fact that patient experience unnecessary and excruciating pain from the tourniquet. The more current method known as wide-awake local anesthesia without tourniquet (WALANT) enables intraoperative function evaluation while the patient is completely conscious. Materials and Methods: Individuals with displaced distal radius fractures that required surgery and isolated, non-concomitant injuries requiring spinal or general anesthesia were considered for WALANT technique. In our study, five patients underwent dorsal plate fixation and 20 patients underwent volar plate fixation. Patients receiving dorsal plate fixation required definite dorsal buttress to prevent radiocarpal dislocation. Conclusion: The WALANT technique is a simple, reliable, and effective anesthetic method for internal fixation and open reduction of distal radius fractures. Since a tourniquet is not necessary, the patient is protected from the discomfort and risks associated with one. Keywords: WALANT technique, distal end radius fracture, tourniquet, volar plating, dorsal plating.

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“…Although there are many reports of lidocaine "skin test allergy" in patients, 38,39 many patients who test positive can be given lidocaine safely. 40 There are almost no reports of true anaphylaxis that seem credible.…”

Section: Potential Adverse Reactions To Lidocaine and Their Treatmentmentioning

confidence: 99%

Clinically Important Pharmacologic Considerations for Wide Awake Local No Tourniquet (WALANT) Hand Surgery

Janes

Sepehripour

Lalonde

2023

Plastic &Amp; Reconstructive Surgery

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Summary: Understanding the clinically important pharmacokinetics (what the body does to the drug) and pharmacodynamics (what the drug does to the body) of medications used in surgery will help surgeons use them more safely and effectively. The goal of this article is to provide an overview of these considerations for the 2 medications used in wide-awake local anesthesia with no tourniquet upper extremity surgery (ie, lidocaine and epinephrine) to establish a better understanding of lidocaine and epinephrine in tumescent local anesthesia, as well as adverse reactions and how to manage them.

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The Negative Predictive Value of Typing Safe Local Anesthetics

Cited by 8 publications

References 18 publications

Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet

Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet

The Efficacy of WALANT Technique in the Management of Distal End Radius Fracture – A Case Series

Clinically Important Pharmacologic Considerations for Wide Awake Local No Tourniquet (WALANT) Hand Surgery

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