Description of WALANT technique in forefoot surgery in time of COVID-19
Revista del Pie y Tobillo
; 36(1):54-58, 2022.
Artigo
em Espanhol
| EMBASE | ID: covidwho-1918295
ABSTRACT
Most of the time forefoot surgery requires the use of a tourniquet, and therefore, the surgery is usually performed with either a popliteal block or an ankle block. Surgical departments have traditionally relied on an anesthesiol-ogist to perform these procedures. The elective nature of the forefoot surgery and the lack of surgical anaesthetists due to the COVID-19 pandemic have become mandatory to find alternatives to continue performing these surgeries in order to avoid an increase of waiting lists. The foot and ankle wide-awake local anaesthesia with no tourniquet (WALANT) technique is an adaptation from the one used for hand surgery. This technique requires no sedation, no regional or general anaesthesia, and the patient is fully conscious during the operation. WALANT technique con-sists of administration of lidocaine and epinephrine for local anaesthesia and vasoconstriction. This technique allows the surgeon to perform the surgery with the patient fully awake and without a tourniquet. In addition, this gives the advantage to perform an intraoperative as-sessment of function. WALANT for foot and ankle surgery is a suitable, safe, and cheap technique. Taking into con-sideration the lack of anaesthetists, operating rooms, and hospital resources observed during SARS-CoV-2 epidemic, this technique represents an acceptable alternative to consider in order to be able to continue performing se-lected cases of foot and ankle surgery.
adult; ambulatory surgery; anesthesist; ankle surgery; article; coronavirus disease 2019; drug combination; epidemic; forefoot; general anesthesia; hand surgery; hospital admission; human; local anesthesia; nonhuman; operating room; pandemic; sedation; Severe acute respiratory syndrome coronavirus 2; surgeon; surgical ward; tourniquet; vasoconstriction; wakefulness; epinephrine; lidocaine
Texto completo:
Disponível
Coleções:
Bases de dados de organismos internacionais
Base de dados:
EMBASE
Idioma:
Espanhol
Revista:
Revista del Pie y Tobillo
Ano de publicação:
2022
Tipo de documento:
Artigo
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