ABSTRACT
Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure. Presented in an easy-to-read, bullet-point format, Wide Awake Han
ATLAS OF TUMESCENT LOCAL ANESTHESIA WITH FOREARM, WRIST, HAND, AND FINGER INJECTIONS. Atlas of Images of Local Anesthesia Diffusion Anatomy. GENERAL PRINCIPLES OF WIDE AWAKE HAND SURGERY. What Is Wide Awake Hand Surgery? Safe Epinephrine in the Finger Means No Tourniquet. Tumescent Local Anesthesia. How to Inject Local Anesthetic with Minimal Pain. Dealing with Systemic Adverse Reactions to Lidocaine and Epinephrine. Tips on Talking to Your Patients about WALANT. Talking with Patients during Surgery Saves Time. WALANT Hand Surgery in Infants and Children. Field Sterility for Simple Cases Makes Sense. Revenues Increase and Costs Decrease With WALANT. The "Buy-In": Administration, Anesthesiology, Nursing, and Payers. Performing Your First Cases With WALANT. Scheduling Fifteen or More Hand Surgery Cases Per Day. Integrating Hand Therapists Into WALANT. Minor Procedure Room Setup. SPECIFIC DETAILS OF HOW TO PERFORM WIDE AWAKE HAND SURGERY FOR COMMON OPERATIONS. Finger and Ray Amputation. Carpal Tunnel Decompression of the Median Nerve. Cubital Tunnel Decompression of the Ulnar Nerve. Lacertus Syndrome: Median Nerve Release at the Elbow. Trigger Finger. De Quervain Release. Dupuytren‘s Contracture. Flexor Sheath Ganglion. Small Soft Tissue Operations. Arthroplasty of the Proximal Interphalangeal Joint. Trapeziectomy With or Without Ligament Reconstruction for Thumb Basal Joint Arthritis. Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair. Proximal Interphalangeal Joint Fusion. Wrist Arthroscopy. Open Triangular Fibrocartilage Complex Repair. Flexor Tendon Repair of the Finger. Flexor Tendon Repair of the Hand. Flexor Tendon Repair of the Forearm. Extensor Tendon Repair of the Finger. Extensor Tendon Repair of the Hand. Extensor Tendon Repair of the Forearm. Tenolysis. Tendon Transfers. Lacerated Nerves. Finger Fractures. Reduction and Internal Fixation of Metacarpal Fractures. COMPL
