Hand surgery.
Conditions
Interventions
Intervention 1: Intervention group: In the WALANT group, we will use the WALANT cocktail consisting of 50 ml of normal saline, 50 ml of 2% lidocaine, 1 ml of epinephrine (1:1000), and 10 ml of 8.4% so
Sponsors
Khoram-Abad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All patients requiring hand surgery at Shohada-ye Ashayer Teaching Hospital in Khorramabad Age 18 years and older
Exclusion criteria
Exclusion criteria: Subjects with a history of previous surgery on the ipsilateral hand
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the pain reported by the patient (pain measured by the Visual Analogue Scale). Timepoint: The pain level will be recorded patient at 1, 3, 5, 15, and 20 minutes. Method of measurement: The patient's pain after the injection is measured with a ruler that ranges from 0 to 10 cm so that 0 is the sign of no pain and 10 is the most severe pain ever experienced. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesia onset time in patients in the two groups. Timepoint: Minutes 1, 3, 5, 15 and 20. Method of measurement: The level of pain will be recorded at 1, 3, 5, 15, and 20 minutes.;Incidence of arterial blood oxygen saturation below 90% for more than 60 seconds. Timepoint: Minutes 1, 3, 5, 15 and 20. Method of measurement: Arterial blood oxygen saturation will be measured by a pulse oximeter from the first finger of the right or left hand. Any drop below 90% for more than 60 seconds will be considered positive.;Change in pulse rate. Timepoint: Minutes 1, 3, 5, 15 and 20. Method of measurement: The pulse rate will be measured by a pulse oximeter from the first finger of the right or left hand.;Change in blood pressure (increase or decrease),. Timepoint: Minutes 1, 3, 5, 15 and 20. Method of measurement: Blood pressure will be checked using vital signs monitor.;Change in respiratory rate (increase or decrease(. Timepoint: Minutes 1, 3, 5, 15 and 20. Method of measurement: Respiratory rate will be checked using vital signs monitor.;Rate of side effects (nausea and vomiting or loss of consciousness). Timepoint: Minutes 1, 3, 5, 15 and 20. Method of measurement: Patients will be examined and asked about experiencing side effects.;Overall satisfaction of patients 60 minutes after the end of receiving the medication. Timepoint: Minute 60. Method of measurement: Overall satisfaction will be evaluated based on a 5-point scale (0=poor, 1=moderate, 2=good, 3=very good, 4=excellent) within 60 minutes after receiving the medication. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactArian Karimi Rouzbahani
Khoram-Abad University of Medical Sciences
Outcome results
None listed