Wide-Awake Anesthesia

By Dr. Garry Kitay

Use of Wide-Awake Local Anesthesia in Hand and Wrist Surgery

Preparing for a surgical procedure often creates significant anxiety for patients.  There are pre-operative tests that frequently need to be completed.  In addition, there are concerns related to general anesthesia and the operating room costs.  Multiple procedures can be performed without general anesthesia or even sedation.  The emergence of wide-awake local anesthesia and no tourniquet (WALANT), which was first popularized in Canada, has several advantages.  In other words, the need for pre-operative testing is nearly eliminated.  Finally, the WALANT technique has been shown to lead to significant savings in time and costs.

Wide-awake anesthesia for hand or wrist surgery

Wide-awake anesthesia for hand or wrist surgery

  • Carpal Tunnel
  • Finger joint replacements
  • Ligament repair
  • Dupuytren’s contracture release
  • Osteotomy
  • Fracture fixation
  • Nerve procedures at the wrist or elbow

Procedures that use WALANT

Wide-awake anesthesia is available for surgery of the hand

WALANT is available for carpal tunnel surgery

The procedure is performed by injecting lidocaine with epinephrine into the planned operative region.  Therefore, this limits bleeding and is safe and effective, including when used in the hand and fingers.  A tourniquet, which can be painful for the patient, is not needed.  The procedure can be performed in the operating room, but in many instances in the clinic setting.  This has been shown in multiple studies to lead to greater patient satisfaction and convenience. Watch this VIDEO on why hand pain can’t wait for care.

Benefits of Wide-Awake Anesthesia

  • First, it helps patient recovery time
  • Second, you can return to normal activities faster
  • Third, patients feel normal immediately after the procedure
  • Lastly, it eliminates intravenous injections

In conclusion, wide-awake anesthesia is a proven safe and effective means for hand or wrist surgeries.

By: Dr. Garry Kitay

Dr. Kitay is board certified by the American Board of Orthopaedic Surgery. He is a member of the American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand with a Certificate of Added Qualification in hand surgery.

Dr. Garry Kitay

Image of Dr. Garry Kitay

Hand Pain Treatment in Jacksonville

The orthopedic hand physicians at JOI can help diagnose and treat your hand pain.  Your physician may order physical therapy or occupational therapy.  JOI Rehab has a skilled team of clinicians to treat your condition. Finally, for more information or to make an appointment call JOI-2000 or click below.

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