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• W4387497480 abstract "<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant (see information at the bottom of this page) <h3>Background and Aims</h3> Regional anesthesia has been used for hand surgeries for many years, but a recent technique has been becoming increasingly popular: the ‘wide- awake local anesthesia no tourniquet’ (WALANT). This allows the combination of sensitive block and a bloodless field, with preservation of motor function. <h3>Methods</h3> We selected a 63-year-old male patient with an old traumatic tendon section in the first finger of his hand that resulted in loss of mobility. One year later, he was proposed for tendon transposition from the second to the first finger to reestablish total abduction ability. The patient only had grade 1 obesity. We performed ultrasound guided peripheral nerve blocks of the radial, ulnar and median nerves at the forearm level, which preserved motor function during the surgery and guaranteed loss of pain sensation. To obtain a bloodless field without a tourniquet, we performed ultrasound assisted subcutaneous infiltration of lignocaine and epinephrine on the dorsal surface of the hand. <h3>Results</h3> The surgery lasted two hours, and the size of the transposed tendon was deemed appropriate through intraoperative observation of ideal hand mobility (see QR code). The orthopedics team confirmed optimal surgical field conditions with this technique. The patient was evaluated at 1 month and, with physical therapy, regained almost all mobility of the hand and showed immense satisfaction. <h3>Conclusions</h3> For hand procedures where there’s an advantage in evaluating motor function throughout the surgery, the WALANT technique proved itself to be an excellent anesthetic choice. Therefore, this technique should be considered more frequently when these surgeries take place." @default.
• W4387497480 created "2023-10-11" @default.
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• W4387497480 date "2023-09-01" @default.
• W4387497480 modified "2023-10-12" @default.
• W4387497480 title "#35963 WALANT technique for hand surgery: what’s the advantage? – case report" @default.
• W4387497480 doi "https://doi.org/10.1136/rapm-2023-esra.557" @default.
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