Wide-Awake Hand Surgery in Two Centers in China: Experience in Nantong and Tianjin with 12,000 patients.
Ambulatory Surgical Procedures
/ statistics & numerical data
Anesthesia, Local
Anesthetics, Local
/ administration & dosage
Attitude of Health Personnel
China
Diffusion of Innovation
Epinephrine
/ administration & dosage
Hand
/ surgery
Humans
Lidocaine
/ administration & dosage
Orthopedic Procedures
/ statistics & numerical data
Vasoconstrictor Agents
/ administration & dosage
Anesthesia
Efficiency
Emergency surgery
Hand surgery
LANT
Tourniquet
WALANT
Wide awake
Journal
Hand clinics
ISSN: 1558-1969
Titre abrégé: Hand Clin
Pays: United States
ID NLM: 8510415
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
entrez:
25
11
2018
pubmed:
25
11
2018
medline:
7
1
2020
Statut:
ppublish
Résumé
This article summarizes the application of local anesthesia no tourniquet in 2 hand surgery centers in China, Nantong and Tianjin, where more than 12,000 patients were operated on with the new approach. This approach achieves excellent anesthetic and vasoconstrictive effects. In Nantong, surgeons performed fracture fixation, soft tissue tumor excision, and flap transfer in the hand with this approach. In Tianjin, surgeons applied it to cases of hand trauma emergency surgery. The authors' experience shows that this approach to hand surgery is safe, economical, and patient friendly, with no increase in infection rate.
Identifiants
pubmed: 30470334
pii: S0749-0712(18)30108-2
doi: 10.1016/j.hcl.2018.08.011
pii:
doi:
Substances chimiques
Anesthetics, Local
0
Vasoconstrictor Agents
0
Lidocaine
98PI200987
Epinephrine
YKH834O4BH
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
7-12Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.