Wide-Awake REGIONAL Anesthesia – Surgeon Administered

Wide-Awake REGIONAL Anesthesia – Surgeon Administered

Over the last 10 years, the concept of "WALANT" has greatly reduced the importance of sedation and general anesthesia for hand surgery.  Many surgeons have transitioned towards performing wide-awake, local-only anesthesia with or without a tourniquet.  In many cases, this has allowed for a reduction in cost by transitioning procedures to the office setting, a reduction in cost by avoiding surgery center facility fees, and reducing the patient complications and inconvenience of sedation. However, WALANT technique is most commonly used for "smaller" hand cases: carpal tunnel, trigger fingers, tendon surgery in palm or fingers, etc.  Although some surgeons have utilized WALANT technique for distal radius fractures and other forearm or elbow injuries, this is not widely practice.  Rather, most surgeons perform upper extremity fracture fixation under regional anesthesia with sedation or general anesthesia. Manu member Dr. Orrin Franko has been utilizing surgeon-administered, axillary regional anesthesia, taught to him by his partner Dr. Andrew Stein, since starting practice 3.5 years ago.  Dr. Stein has...
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