Evaluating Clinical Outcomes for Determining the Optimal Delay to Skin Incision Under WALANT

East Avenue Medical Center, Philippines34 enrolled

Overview

Further studies are needed to establish the effects of WALANT in performing most common hand surgeries, in relation to its clinical outcomes and intraoperative blood loss. Therefore, this study aims to identify the best interval time to perform elective hand surgeries using WALANT technique, document clinical outcomes and identify potential complications

To propose the optimal time delay from the injection to skin incision for most WALANT surgeries of the hand or wrist by analyzing not only intraoperative blood loss, but also postoperative pain scores and complication rates To determine if there is a difference between performing the WALANT technique with a waiting interval of 7 minutes as compared to 30 minutes prior to incision in relation to blood loss, pain scores, and complications. Initiate the use of WALANT technique and its application in practice of Orthopaedic Residents in East Avenue Medical Center

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Hand Surgery Orthopedic Surgery

Interventions

WALANT TechniqueOTHER

A technique commonly used in hand surgeries where the combination of lidocaine and epinephrine is used for local blood control, thus performing the procedure without a tourniquet

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. . Signed Consent Form 2. Elective Hand Surgeries 3. Minor Hand Surgeries 4. Adult Male/Female ages 18 and above 5. Multiply injured Exclusion Criteria: 1. No Consent 2. Multiply injured patient 3. Traumatic Hand Injuries 4. Known allergic reaction to either Epinephrine or Lidocaine. 5. Known heart condition 6. Patients on anticoagulants 7. Patients diagnosed with bleeding disorders

Locations (1)

East Avenue Medical Center; Department of Orthopedics

Quezon City, Philippines

Outcomes

Primary Outcomes

VRS Score

Verbal Rating Scale 1. 0 for no pain 2. 1 for mild pain 3. 2 for moderate pain 4. 3 for severe pain 5. 4 for very severe pain

Time frame: 24 weeks

Secondary Outcomes

Blood Loss

Blood loss estimation using Gauze Visual Analogue Scale by Algadiem et.al.

Time frame: 24 weeks

Data from ClinicalTrials.gov

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