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To campare the analgesic effect of Wide-Awake Local Anaesthesia No Tourniquet technique (WALANT) with regional anaesthesia with tourniquet in hand surgeries.

Comparison of analgesic effect of Wide-Awake Local Anaesthesia No Tourniquet (WALANT) technique and regional anaesthesia with tourniquet in hand surgery: a randomized controlled trial - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/05/066922
Enrollment
92
Registered
2024-05-07
Start date
Unknown
Completion date
Unknown
Last updated
2024-05-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: WALANT (wide-awake local anaesthetic no tourniquet): A WALANT solution will be prepared by the surgeon using consisting of 50 mL normal saline, 50 mL of 2% lignocaine, 1 mL of adrenalin

Sponsors

Deepika Attri
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adults=18 years old. 2. ASA 1- 3 3. Clinical diagnosis of acute flexor tendon injury at wrist and hand (zone 1-5) injury within 2 weeks of injury. 4. Carpal tunnel, Duptyren’s contracture release 5. Fixation of phalangeal and metacarpal fracture. 6. The patient understands and is willing to participate and can comply with the follow- up regime

Exclusion criteria

Exclusion criteria: 1. Tendon not amendable to primary repair (gross wound contamination, segmental tendon loss, associated fractures or mangled hand injuries). 2. Secondary tendon repair or reconstruction. 3. History of allergy to Local Anaesthetic (LA). 4. Refusal to have LA or deemed non-cooperative to be performed without sedation. 5. Pre-existing deformity of finger or hand.

Design outcomes

Primary

MeasureTime frame
To compare post-operative pain scores every 6 hourly up to first 24 hours among the two groups using the Numerical Rating Scale (NRS)Timepoint: baseline, 6 hours, 12 hours, 24 hours—

Secondary

MeasureTime frame
1. To compare Intra-operative pain scores using NRS scale at every 1 hour time point 2. To compare intra operative blood loss 3. To compare Total surgical time between the two groups 4. To compare Total anesthesia time between the two groups 5. To compare Quality of surgical field 6. To compare post operative analgesic consumption including opiod consumption. 7. To compare Post operative Adverse effects- incidence of torniquet pain, digital necrosis, residual weaknessTimepoint: To compare post-operative pain scores every 6 hourly up to first 24 hours among the two groups using the Numerical Rating Scale (NRS)—

Countries

India

Contacts

Public ContactDr Karan Singla

PGIMER

karansingla16@gmail.com9592919073

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026