Webinar Director: Asif M. Ilyas, MD
Wide awake hand surgery, also WALANT (“Wide Awake Local Anesthesia No Tourniquet”), is a surgical strategy that has growing interest and utilization.
In this strategy, surgical pain is controlled through an injection of a local anesthetic without an intravenous line or a general anesthetic agent. Bleeding in the surgical field is minimized by the use of epinephrine, thus foregoing the need for a tourniquet.
Advocates for wide awake hand surgery claim the strategy is safer by eliminating standard anesthetic risks, and more convenient for the patient by eliminating the need for preoperative diagnostic testing, fasting, the need for a driver, and the discomfort of an intravenous line.
It reduces time and cost by eliminating anesthesia induction in the OR, and avoiding pre-operative testing, anesthesia charges, and improves post-operative recovery time. This strategy can be utilized for a majority of hand surgeries and can be readily implemented by a deliberate strategy, that will be discussed at length in this webinar.
At the conclusion webinar, participants should be able to:
- Understand the advantages and indications for wide awake hand surgery.
- Explain epinephrine safety and local injection techniques.
- Identify the types of hand surgery cases that can be performed wide awake.
- Describe cost-saving benefits of wide awake hand surgery.
- Specify implementation strategies of wide awake hand surgery in your practice.
Chris Jones, MD
Jonas Matzon, MD
Michael Rivilin, MD