Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery
BACKGROUND: Wide awake local anaesthetic no tourniquet (WALANT) hand surgery is a rapidly growing technique for hand surgery whereby a lignocaine/adrenaline/bicarbonate mixture is injected into the hand or fingers where the procedure is to be carried outMETHODS: This was a retrospective study with prospective recall analysing satisfaction of patients who underwent WALANT hand surgery at our academic hospital in the first year of its inception. Data collection included a questionnaire to analyse demographics, comparison to dental procedures, subjective and objective experience of the procedure, overall experience, expectations, pain and surgical outcomeRESULTS: We included 80 procedures in 67 patients; 87% would prefer WALANT in the future, and 87% would recommend WALANT to friends or family. For 79% of patients (who had dental procedures before), the pain was less or the same as a dental procedure, and 70% of patients said the experience was better than expected. Average pain scores were 3.89/10 during local anaesthetic injection, 1.25/10 during the procedure and 5.20/10 postoperatively; with postoperative pain starting at an average of nine hours. Eighty-five per cent of conditions were cured at follow-up and no cases of digital ischaemia or infection were notedCONCLUSION: Our study suggests WALANT hand surgery is a safe, effective and satisfactory method of performing hand surgery in the South African contextLevel of evidence: Level 4
Main Authors: | , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Medpharm Publications
2022
|
Online Access: | http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1681-150X2022000100008 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S1681-150X2022000100008 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S1681-150X20220001000082022-06-06Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgeryde Buys,MichaelTsama,MlulekiAden,Abdirashid A WALANT hand surgery local anaesthetic carpal tunnel de Quervain's ganglion patient satisfaction BACKGROUND: Wide awake local anaesthetic no tourniquet (WALANT) hand surgery is a rapidly growing technique for hand surgery whereby a lignocaine/adrenaline/bicarbonate mixture is injected into the hand or fingers where the procedure is to be carried outMETHODS: This was a retrospective study with prospective recall analysing satisfaction of patients who underwent WALANT hand surgery at our academic hospital in the first year of its inception. Data collection included a questionnaire to analyse demographics, comparison to dental procedures, subjective and objective experience of the procedure, overall experience, expectations, pain and surgical outcomeRESULTS: We included 80 procedures in 67 patients; 87% would prefer WALANT in the future, and 87% would recommend WALANT to friends or family. For 79% of patients (who had dental procedures before), the pain was less or the same as a dental procedure, and 70% of patients said the experience was better than expected. Average pain scores were 3.89/10 during local anaesthetic injection, 1.25/10 during the procedure and 5.20/10 postoperatively; with postoperative pain starting at an average of nine hours. Eighty-five per cent of conditions were cured at follow-up and no cases of digital ischaemia or infection were notedCONCLUSION: Our study suggests WALANT hand surgery is a safe, effective and satisfactory method of performing hand surgery in the South African contextLevel of evidence: Level 4Medpharm PublicationsSA Orthopaedic Journal v.21 n.1 20222022-01-01journal articletext/htmlhttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1681-150X2022000100008en |
institution |
SCIELO |
collection |
OJS |
country |
Sudáfrica |
countrycode |
ZA |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-za |
tag |
revista |
region |
África del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
de Buys,Michael Tsama,Mluleki Aden,Abdirashid A |
spellingShingle |
de Buys,Michael Tsama,Mluleki Aden,Abdirashid A Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
author_facet |
de Buys,Michael Tsama,Mluleki Aden,Abdirashid A |
author_sort |
de Buys,Michael |
title |
Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
title_short |
Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
title_full |
Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
title_fullStr |
Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
title_full_unstemmed |
Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
title_sort |
patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery |
description |
BACKGROUND: Wide awake local anaesthetic no tourniquet (WALANT) hand surgery is a rapidly growing technique for hand surgery whereby a lignocaine/adrenaline/bicarbonate mixture is injected into the hand or fingers where the procedure is to be carried outMETHODS: This was a retrospective study with prospective recall analysing satisfaction of patients who underwent WALANT hand surgery at our academic hospital in the first year of its inception. Data collection included a questionnaire to analyse demographics, comparison to dental procedures, subjective and objective experience of the procedure, overall experience, expectations, pain and surgical outcomeRESULTS: We included 80 procedures in 67 patients; 87% would prefer WALANT in the future, and 87% would recommend WALANT to friends or family. For 79% of patients (who had dental procedures before), the pain was less or the same as a dental procedure, and 70% of patients said the experience was better than expected. Average pain scores were 3.89/10 during local anaesthetic injection, 1.25/10 during the procedure and 5.20/10 postoperatively; with postoperative pain starting at an average of nine hours. Eighty-five per cent of conditions were cured at follow-up and no cases of digital ischaemia or infection were notedCONCLUSION: Our study suggests WALANT hand surgery is a safe, effective and satisfactory method of performing hand surgery in the South African contextLevel of evidence: Level 4 |
publisher |
Medpharm Publications |
publishDate |
2022 |
url |
http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1681-150X2022000100008 |
work_keys_str_mv |
AT debuysmichael patientsatisfactionfollowingwideawakelocalanaestheticnotourniquethandsurgery AT tsamamluleki patientsatisfactionfollowingwideawakelocalanaestheticnotourniquethandsurgery AT adenabdirashida patientsatisfactionfollowingwideawakelocalanaestheticnotourniquethandsurgery |
_version_ |
1756007400135983105 |