Safety and Efficacy of Wide Awake Local Anesthesia no Tourniquet Technique (WALANT) in Ankle Removal of Implant Surgery

Ali Lari40 enrolled

Overview

Safety and efficacy of wide awake local anesthesia no torniquet technique (WALANT) in ankle surgery. Studying risks and benefits from WALANT compared to general anesthesia . WALANT expected to decrease in intraoperative/post operative pain at the surgical site and decrease hospital time .

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Safety Issues Post Operative Pain Local Anesthetic Complication

Interventions

Wide awake local anaesthesia no tourniquet techniquePROCEDURE

Patient awake with no form of sedation or analgesia * A mixture of lidocaine, adrenaline, normal saline, bicarbonate is used to get 40-50ml solution * Injection is performed around incision site - superficial to deep including periosteum * Incision is performed in the normal fashion * Plate and screws are removed and incision is closed

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age: \>18 * Previous ORIF for: * Unimalleolar fractures * Bimalleolar fractures * Trimalleolar fractures Exclusion Criteria: * Allergy to local anesthesia * Psychiatric diagnosis including: affect disorders, uncooperative * Severe cardiovascular disease

Locations (1)

AlRazi Orthopedic Hospital

Kuwait City, Kuwait

RECRUITING

Outcomes

Primary Outcomes

Evaluation of the patient's maximum pain intraoperatively at the surgical site

Visual analogue pain scale - VAS

Time frame: Intraoperative

Blood loss

Amount cc

Time frame: Intraoperative

Central Contacts

Ali Lari, MD

CONTACT

+96566428328 dr.alilari@gmail.com

Data from ClinicalTrials.gov

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