Hand Surgery, Wrist Surgery
Conditions
Keywords
Regional anesthesia, Walant block
Brief summary
The purpose of this retrospective study is to compare the analgesic efficacy of Walant Wide Awake Local Anesthesia No Tourniquet with lidocaine and bupivacaine versus axillary brachial plexus block using mepivacaïne, both performed by anesthesiologists, after hand or wrist ambulatory surgery. The main objective is to prove that Walant block improve pain relief at home measuring time to first analgesic request. The secondary objectives are to compare maximal pain, consumption of supplementary analgesics, and the duratin of sensory block between groups.
Detailed description
data will be collected on patient records and will be compared between groups of regional anesthesia. Data will be : * time to first analgesic request * sensory block * rescue analgesia during the first 24 hours after surgery * maximal pain score during the first 24 hours after surgery * patient satisfaction of managing care
Interventions
Injection of local anesthetics by a regional anesthesia named Walant block (Wide Awak Local anesthesia No Tourniquet)or by axillary brachial plexus block.
Sponsors
Study design
Eligibility
Inclusion criteria
\- All adults patients scheduled for hand or wrist ambulatory surgery since 2016
Exclusion criteria
\- NA
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| duration of analgesia | 24 hours | time to first rescue analgesic request (opioid) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maximal pain score during the first 24 hours after surgery | 24 hours | Pain assessments during first 24 hours : maximal pain score during the first 24 hours after surgery |
| total rescue analgesia amounts the first 24 hours after surgery | 24 hours | Pain assessments during first 24 hours : total rescue analgesia amounts the first 24 hours after surgery |
| duration of sensory block | 24 hours | Pain assessments during first 24 hours : duration of sensory block |
Countries
France