Qualitative aspects of patient pain during surgery with wide-awake local anesthesia
نویسندگان
چکیده
منابع مشابه
Dosage of local anesthesia in wide awake hand surgery.
O NE OF THE MORE NOTABLE recent changes in hand surgery is the method of delivery of the anesthesia. Similar to when they are having a dental procedure, patients who understand and are offered the wide awake alternative like the ideas of (1) no preoperative testing, (2) no tourniquet pain, (3) less time at the hospital to have the surgery, (4) the ability to speak to their surgeon during the su...
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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...
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Traditionally, surgeons were taught that local anesthesia containing epinephrine should not be injected into fingers. This idea has since been refuted in many basic and clinical scientific studies, and today, injection of lidocaine plus epinephrine is widely used for digital and hand anesthesia in Canada. The key advantages of the wide-awake technique include the creation of a bloodless field w...
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متن کاملMinimally invasive anesthesia in wide awake hand surgery.
Tumescent minimally invasive local anesthesia is eliminating the need for sedation and proximal nerve blocks as well as all of their risks, costs, and inconveniences. It has facilitated advances in procedures such as hand fracture reduction, tendon repair, and tendon transfer by allowing the surgeon to see cooperative patient active movement during the surgery. It has improved the patient exper...
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ژورنال
عنوان ژورنال: Journal of Orthopaedics
سال: 2019
ISSN: 0972-978X
DOI: 10.1016/j.jor.2018.12.015