Anesthesia, Local, Lower Limb Wound, Upper Limb Wound
Conditions
Keywords
WALANT, plastic surgery, upper limb, lower limb
Brief summary
Wide-awake local anesthesia no tourniquet (WALANT) was proposed and performed in hand operations. Aim of this study is to present the use of WALANT in operations performed on the upper and lower limbs, evaluate its efficacy in terms of feasibility, total operation time, total operating room time, bleeding, patient discomfort and satisfaction and control for potential drawbacks. The hypothesis is that WALANT is a viable option in common operations performed by plastic surgeons on the upper and lower limbs.
Detailed description
Wide-awake local anesthesia no tourniquet (WALANT) was proposed and performed in hand operations. Little has been studied, regarding its indications and efficacy in general plastic surgery operations. Aim of this study is to present the use of WALANT in operations performed on the upper and lower limbs, evaluate its efficacy in terms of feasibility, total operation time, total operating room time, bleeding, patient discomfort and satisfaction and control for potential drawbacks. The hypothesis is that WALANT is a viable option in common operations performed by plastic surgeons on the upper and lower limbs. A prospective study will be conducted comparing the use of WALANT in operations performed on the upper and lower limbs to the traditional use of tourniquet with general or regional anesthesia.
Interventions
PROCEDUREWALANT
WALANT as anesthesia method for upper and lower limb palstic surgery operations
Sponsors
University Hospital, Ioannina
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* upper or lower limb operation * indication for flap or skin grafting * operated by the principal investigator
Exclusion criteria
* other concomitant operations performed * known allergy to any of the ingredients of local anesthesia mixture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total operation time | through operation completion | the difference between skin incision and skin closure in minutes |
| operation theatre time | through operation completion with exit from the operation theatre | the difference between entry and exit of the patient from the operation theatre in minutes |
| Patient satisfaction | at 8 weeks | estimated by a 10-point visual analogue scale (1-10, 10 is the best outcome) |
| feasibility of the WALANT method | through operation completion | percentage of cases, which could not be completed under WALANT with conversion to the traditional method of anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complications | at 8 weeks | number and type of complications in each group |
Countries
Greece
Outcome results
None listed