Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia

Summary:. We successfully performed minimally painful injection of tumescent local anesthesia to eliminate the need for the tourniquet and sedation for a below-knee amputation in a frail patient with multiple medical comorbidities in Mombasa, Kenya. Minimal pain injection of WALANT (wide awake local...

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Main Authors: Asif Admani, FCS-COSECSA, Imraan Sherman, MCS-COSECSA, Pankaj Jani, FRCS, Arnold Mwamuye, MbChB, Sarvnaz Sepehripour, MD, Donald Lalonde, FRCSC
Format: Article
Language:English
Published: Wolters Kluwer 2023-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005164
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author Asif Admani, FCS-COSECSA
Imraan Sherman, MCS-COSECSA
Pankaj Jani, FRCS
Arnold Mwamuye, MbChB
Sarvnaz Sepehripour, MD
Donald Lalonde, FRCSC
author_facet Asif Admani, FCS-COSECSA
Imraan Sherman, MCS-COSECSA
Pankaj Jani, FRCS
Arnold Mwamuye, MbChB
Sarvnaz Sepehripour, MD
Donald Lalonde, FRCSC
author_sort Asif Admani, FCS-COSECSA
collection DOAJ
description Summary:. We successfully performed minimally painful injection of tumescent local anesthesia to eliminate the need for the tourniquet and sedation for a below-knee amputation in a frail patient with multiple medical comorbidities in Mombasa, Kenya. Minimal pain injection of WALANT (wide awake local anesthesia no tourniquet) pure local anesthesia can be a good alternative for lower limb amputation in frail patients when safe sedation services are unavailable or unaffordable in many countries.
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spelling doaj.art-4849e91ac199443ea4986a401ce3c5292023-07-28T09:29:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-07-01117e516410.1097/GOX.0000000000005164202307000-00048Below-knee Amputation with Minimally Painful Injection of Tumescent Local AnesthesiaAsif Admani, FCS-COSECSA0Imraan Sherman, MCS-COSECSA1Pankaj Jani, FRCS2Arnold Mwamuye, MbChB3Sarvnaz Sepehripour, MD4Donald Lalonde, FRCSC5From the * Coast General Teaching and Referral Hospital, Department of Surgery, Mombasa, KenyaFrom the * Coast General Teaching and Referral Hospital, Department of Surgery, Mombasa, Kenya† Department of Surgery, University of Nairobi, Nairobi, KenyaFrom the * Coast General Teaching and Referral Hospital, Department of Surgery, Mombasa, Kenya‡ Birmingham Women’s and Children’s National Health Service Foundation Trust, Birmingham, England§ Division of Plastic Surgery, Dalhousie University, Saint John, New Brunswick, Canada.Summary:. We successfully performed minimally painful injection of tumescent local anesthesia to eliminate the need for the tourniquet and sedation for a below-knee amputation in a frail patient with multiple medical comorbidities in Mombasa, Kenya. Minimal pain injection of WALANT (wide awake local anesthesia no tourniquet) pure local anesthesia can be a good alternative for lower limb amputation in frail patients when safe sedation services are unavailable or unaffordable in many countries.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005164
spellingShingle Asif Admani, FCS-COSECSA
Imraan Sherman, MCS-COSECSA
Pankaj Jani, FRCS
Arnold Mwamuye, MbChB
Sarvnaz Sepehripour, MD
Donald Lalonde, FRCSC
Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia
Plastic and Reconstructive Surgery, Global Open
title Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia
title_full Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia
title_fullStr Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia
title_full_unstemmed Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia
title_short Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia
title_sort below knee amputation with minimally painful injection of tumescent local anesthesia
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005164
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