BENEFITS OF THE WALANT TECHNIQUE AGAINST THE COVID-19 PANDEMIC

Author:

ALVES RAFAEL SALEME1ORCID,CONSONI DANIEL ALEXANDRE PEREIRA2ORCID,FERNANDES PEDRO HENRIQUE OLIVEIRA2ORCID,SASAKI SANDRA UMEDA3ORCID,ZAIA ISABELLA MARTINS4ORCID,SANTOS SOFIA BRANDÃO DOS5ORCID,SATO MONICA AKEMI6ORCID

Affiliation:

1. Hospital IFOR, Brazil; Faculdade de Medicina do ABC, Brazil

2. Hospital IFOR, Brazil

3. Hospital Sírio Libanês, Brazil; Universidade de São Paulo, Brazil

4. Universidade Cidade de São Paulo, Brazil

5. Universidade Cidade de São Paulo, Brazil; Centro Universitário Lusíada, Brazil

6. Faculdade de Medicina do ABC, Brazil

Abstract

ABSTRACT Objective: Evaluate the experience of private and public health services with the WALANT procedure in the COVID-19 pandemic. Methods: This is a retrospective, multicenter longitudinal study gathering cases of hand surgery subjected to the WALANT technique in the Hospitals Dr. Radamés Nardini and IFOR during the COVID-19 pandemic (August 2020). As a parameter, the verbal numerical rating scale for twenty patients referring to the preoperative, intraoperative and postoperative periods was applied. Results: The patients did not feel any pain during surgery, which showed the efficiency of the anesthetic technique in its purpose. Conclusion: The results indicate the WALANT technique as beneficial when facing the COVID-19 pandemic, as the main differential of the technique is that it is applied by a well-trained orthopedic hand surgeon. Level of Evidence IV, Case Series.

Publisher

FapUNIFESP (SciELO)

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference8 articles.

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4. Conceptual origins, current practice, and views of wide awake hand surgery;Lalonde DH;J Hand Surg Eur Vol,2017

5. Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)/tourniquet;Gunasagaran J;J Orthop Surg (Hong Kong),2017

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