Local Anesthetic Complication, Post Operative Pain, Safety Issues
Conditions
Brief summary
Safety and efficacy of wide awake local anesthesia no torniquet technique (WALANT) in ankle surgery. Studying risks and benefits from WALANT compared to general anesthesia . WALANT expected to decrease in intraoperative/post operative pain at the surgical site and decrease hospital time .
Interventions
PROCEDUREWide awake local anaesthesia no tourniquet technique
Patient awake with no form of sedation or analgesia * A mixture of lidocaine, adrenaline, normal saline, bicarbonate is used to get 40-50ml solution * Injection is performed around incision site - superficial to deep including periosteum * Incision is performed in the normal fashion * Plate and screws are removed and incision is closed
Sponsors
Ali Lari
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Interventional, prospective, therapeutic, comparative, randomized controlled ?
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age: \>18 * Previous ORIF for: * Unimalleolar fractures * Bimalleolar fractures * Trimalleolar fractures
Exclusion criteria
* Allergy to local anesthesia * Psychiatric diagnosis including: affect disorders, uncooperative * Severe cardiovascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the patient's maximum pain intraoperatively at the surgical site | Intraoperative | Visual analogue pain scale - VAS |
| Blood loss | Intraoperative | Amount cc |
Countries
Kuwait
Contacts
Primary ContactAli Lari, MD
Outcome results
None listed