Wide-awake local anesthesia no tourniquet (WALANT) was proposed and performed in hand operations. Aim of this study is to present the use of WALANT in operations performed on the upper and lower limbs, evaluate its efficacy in terms of feasibility, total operation time, total operating room time, bleeding, patient discomfort and satisfaction and control for potential drawbacks. The hypothesis is that WALANT is a viable option in common operations performed by plastic surgeons on the upper and lower limbs.
Wide-awake local anesthesia no tourniquet (WALANT) was proposed and performed in hand operations. Little has been studied, regarding its indications and efficacy in general plastic surgery operations. Aim of this study is to present the use of WALANT in operations performed on the upper and lower limbs, evaluate its efficacy in terms of feasibility, total operation time, total operating room time, bleeding, patient discomfort and satisfaction and control for potential drawbacks. The hypothesis is that WALANT is a viable option in common operations performed by plastic surgeons on the upper and lower limbs. A prospective study will be conducted comparing the use of WALANT in operations performed on the upper and lower limbs to the traditional use of tourniquet with general or regional anesthesia.
Study Type
OBSERVATIONAL
Enrollment
90
WALANT as anesthesia method for upper and lower limb palstic surgery operations
Plastic Surgery Department
Ioannina, Greece
total operation time
the difference between skin incision and skin closure in minutes
Time frame: through operation completion
operation theatre time
the difference between entry and exit of the patient from the operation theatre in minutes
Time frame: through operation completion with exit from the operation theatre
Patient satisfaction
estimated by a 10-point visual analogue scale (1-10, 10 is the best outcome)
Time frame: at 8 weeks
feasibility of the WALANT method
percentage of cases, which could not be completed under WALANT with conversion to the traditional method of anesthesia
Time frame: through operation completion
complications
number and type of complications in each group
Time frame: at 8 weeks
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