WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC
Aim of the study The aim of the study was to confirm the effectiveness and safety of wide awake local anesthesia no tourniquet (WALANT) technique in hand surgery, as well as its necessity and importance during the COVID-19 pandemics. Material and methods A retrospective study was performed between M...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2023-03-01
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| Series: | Romanian Journal of Oral Rehabilitation |
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| Online Access: | https://www.rjor.ro/walant-efficient-and-safe-technique-key-treatment-in-covid-19-pandemic/ |
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| author | Madalina-Cristina Fotea Stefana Luca Dorin Alexandru Sumanaru Oxana Madalina Grosu Andra Bulgaru Iliescu Alexandru Filip Mihaela Poroch Vladimir Poroch Roxana Maria Pinzaru Claudiu Carp Mihaela Mitrea |
| author_facet | Madalina-Cristina Fotea Stefana Luca Dorin Alexandru Sumanaru Oxana Madalina Grosu Andra Bulgaru Iliescu Alexandru Filip Mihaela Poroch Vladimir Poroch Roxana Maria Pinzaru Claudiu Carp Mihaela Mitrea |
| author_sort | Madalina-Cristina Fotea |
| collection | DOAJ |
| description | Aim of the study The aim of the study was to confirm the effectiveness and safety of wide awake local anesthesia no tourniquet (WALANT) technique in hand surgery, as well as its necessity and importance during the COVID-19 pandemics. Material and methods A retrospective study was performed between March 2020 and September 2021 to evaluate advantages of WALANT, taking into consideration the rules imposed by the pandemic context. This study included 360 patients, treated for acute and chronic hand diseases. A statistical investigation was performed using SPSS 20.0 version software and applying the ANOVA regression, evaluating demographic, anatomical and surgical variables. Results: 234 males and 126 females, treated for acute hand trauma (metacarpal and phalanx fractures, tendon and nerves lesions) and chronic hand diseases such as carpal tunnel syndrome (CTS) dupuytren’s disease (DD), trigger finger (TF), soft tissue and bone tumors. The average patient waiting time from admission in the operating room was 13.95 minutes, while the mean time of onset of local anesthesia was 12.15 minutes. No complications such as distal digital bleeding, hematoma, the necessity of using the antidote, or necrosis occurred, the outcomes were very good and the patient satisfaction high. Conclusions: The WALANT technique can be considered the “gold standard” in hand surgery anesthesia during the COVID-19 pandemic, ensuring a correct and safe surgical treatment in the restrictive conditions imposed by the epidemiological context. |
| first_indexed | 2024-04-09T17:08:04Z |
| format | Article |
| id | doaj.art-e7a1b68075d145ef89c1bc86fa769f04 |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-04-09T17:08:04Z |
| publishDate | 2023-03-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-e7a1b68075d145ef89c1bc86fa769f042023-04-20T10:50:20ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612023-03-01151191198WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMICMadalina-Cristina Fotea0Stefana Luca1Dorin Alexandru Sumanaru2Oxana Madalina Grosu3Andra Bulgaru Iliescu4Alexandru Filip5Mihaela Poroch6Vladimir Poroch7Roxana Maria Pinzaru8Claudiu Carp9Mihaela Mitrea10Department of Plastic Surgery and Reconstructive Microsurgery, “Sf. Spiridon” Emergency County Hospital, Iasi, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, “Sf. Spiridon” Emergency County Hospital, Iasi, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, “Sf. Spiridon” Emergency County Hospital, Iasi, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, “Sf. Spiridon” Emergency County Hospital, Iasi, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, “Sf. Spiridon” Emergency County Hospital, Iasi, Romania“Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania“Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania“Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania“Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania“Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania“Grigore T. Popa” University of Medicine and Pharmacy Iasi, RomaniaAim of the study The aim of the study was to confirm the effectiveness and safety of wide awake local anesthesia no tourniquet (WALANT) technique in hand surgery, as well as its necessity and importance during the COVID-19 pandemics. Material and methods A retrospective study was performed between March 2020 and September 2021 to evaluate advantages of WALANT, taking into consideration the rules imposed by the pandemic context. This study included 360 patients, treated for acute and chronic hand diseases. A statistical investigation was performed using SPSS 20.0 version software and applying the ANOVA regression, evaluating demographic, anatomical and surgical variables. Results: 234 males and 126 females, treated for acute hand trauma (metacarpal and phalanx fractures, tendon and nerves lesions) and chronic hand diseases such as carpal tunnel syndrome (CTS) dupuytren’s disease (DD), trigger finger (TF), soft tissue and bone tumors. The average patient waiting time from admission in the operating room was 13.95 minutes, while the mean time of onset of local anesthesia was 12.15 minutes. No complications such as distal digital bleeding, hematoma, the necessity of using the antidote, or necrosis occurred, the outcomes were very good and the patient satisfaction high. Conclusions: The WALANT technique can be considered the “gold standard” in hand surgery anesthesia during the COVID-19 pandemic, ensuring a correct and safe surgical treatment in the restrictive conditions imposed by the epidemiological context.https://www.rjor.ro/walant-efficient-and-safe-technique-key-treatment-in-covid-19-pandemic/walanthand surgerycovid19local anesthesia |
| spellingShingle | Madalina-Cristina Fotea Stefana Luca Dorin Alexandru Sumanaru Oxana Madalina Grosu Andra Bulgaru Iliescu Alexandru Filip Mihaela Poroch Vladimir Poroch Roxana Maria Pinzaru Claudiu Carp Mihaela Mitrea WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC Romanian Journal of Oral Rehabilitation walant hand surgery covid19 local anesthesia |
| title | WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC |
| title_full | WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC |
| title_fullStr | WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC |
| title_full_unstemmed | WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC |
| title_short | WALANT – EFFICIENT AND SAFE TECHNIQUE – KEY TREATMENT IN COVID-19 PANDEMIC |
| title_sort | walant efficient and safe technique key treatment in covid 19 pandemic |
| topic | walant hand surgery covid19 local anesthesia |
| url | https://www.rjor.ro/walant-efficient-and-safe-technique-key-treatment-in-covid-19-pandemic/ |
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