Update/Review: Changing of Use of Local Anesthesia in the Hand

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2014 Oct 8

PMID 25289343

Citations 20

Authors

Sarah Al Youha

Donald H Lalonde

Affiliations

Soon will be listed here.

Abstract

Among the many advances in local anesthesia of the hand, some of the most significant changes in the last 5 years have been the following: (1) the acceptance of safety of locally infiltrated epinephrine with lidocaine for hemostasis, which has removed the need for sedation, brachial plexus blocks, and general anesthesia for most common hand surgery operations and minor hand trauma. (2) The elimination of the 2 injection finger block technique in favor of the single injection palmar block. (3) Local anesthesia can now be consistently injected in the hand with minimal pain. (4) Liposomal release of local anesthetic after injection into the surgical site can provide pain control up to 3 days. This article reviews the impact and best evidence related to these changes.

Citing Articles

A Review of 1228 In-Office Hand Surgery Procedures With Wide Awake Local Anesthesia No Tourniquet (WALANT) at a Single Private Practice.

Coffman J, Dela Cruz J, Stein B, Bagg M, Person D, Desai K Hand (N Y). 2024; :15589447241235251.

PMID: 38488170 PMC: 11571414. DOI: 10.1177/15589447241235251.

Quantitative Analysis of Anesthesia Utilization in Ambulatory Hand Surgery.

Bowen L, Smith D, Siahaan J Iowa Orthop J. 2024; 43(2):25-30.

PMID: 38213847 PMC: 10777700.

A prospective, comparative study of the analgesic effect between the WALANT technique and local anesthesia associated with sedation for hand surgery.

Ramos P, Sakata R, Ribeiro H, Bonfanti A, Ferraro L Acta Cir Bras. 2023; 38:e384323.

PMID: 37909593 PMC: 10637341. DOI: 10.1590/acb384323.

Outcomes Following Distal Nerve Blocks for Open Carpal Tunnel Release: A Single-Institution Retrospective Study.

Tsuda P, Du A, Gabriel R, Curran B Cureus. 2023; 15(7):e41258.

PMID: 37529814 PMC: 10389749. DOI: 10.7759/cureus.41258.

Impact of WALANT Hand Surgery in a Secondary Care Hospital in Spain. Benefits to the Patient and the Health System.

Far-Riera A, Perez-Uribarri C, Serrano M, Gonzalez J J Hand Surg Glob Online. 2023; 5(1):73-79.

PMID: 36704374 PMC: 9870812. DOI: 10.1016/j.jhsg.2022.10.003.

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