Benefits of WALANT in palliative upper limb surgery after nerve injury.

R Dukan, T Gregory, H Coudane, E H Masmejean

Hand surgery & rehabilitation 2022 Feb

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Wide-Awake Local Anesthesia No Tourniquet (WALANT) may be a satisfactory anesthesia alternative for the management of upper limb peripheral nerve palsy sequelae. The main advantages are the possibility of active patient cooperation through intraoperative active mobilization, comfort and cost reduction. The legislation about WALANT in France remains unclear; the modalities of lidocaine epinephrine injection should be redefined. For palliative upper limb surgery, WALANT allows the surgeon to adjust the tension on the tendon transfer intraoperatively. Level 1 studies are needed to evaluate the effectiveness of WALANT relative to standard anesthesia techniques (regional/general anesthesia). Copyright © 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.

Citation

R Dukan, T Gregory, H Coudane, E H Masmejean. Benefits of WALANT in palliative upper limb surgery after nerve injury. Hand surgery & rehabilitation. 2022 Feb;41S:S23-S28