Wide Awake Surgery as an Opportunity to Enhance Clinical Research

Verena J.M.M. Festen-Schrier; Peter C. Amadio

doi:10.1016/j.hcl.2018.08.003

Wide Awake Surgery as an Opportunity to Enhance Clinical Research

Verena J.M.M. Festen-Schrier, Peter C. Amadio

Research output: Contribution to journal › Review article › peer-review

3 Scopus citations

Abstract

Wide Awake surgery under Local Anesthesia with No Tourniquet (WALANT) has revolutionized clinical hand surgery, improving clinical outcomes and reducing postoperative pain and morbidity. It can also be used to deepen scientific knowledge, because the unsedated patient, with sensation intact and without the adverse effects of tourniquet neurapraxia or paralysis, can follow commands and actively move the limb after tendon and nerve surgery. These movements can be correlated with fingertip force, tendon tension, nerve conduction and amplitude, and muscle sarcomere length measurements to develop new insights into the effectiveness of many different tendon and nerve procedures in the hand.

Original language	English (US)
Pages (from-to)	93-96
Number of pages	4
Journal	Hand Clinics
Volume	35
Issue number	1
DOIs	https://doi.org/10.1016/j.hcl.2018.08.003
State	Published - Feb 2019

Keywords

Human
Muscle
Nerve
Physiology
Tendon

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1016/j.hcl.2018.08.003

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title = "Wide Awake Surgery as an Opportunity to Enhance Clinical Research",

abstract = "Wide Awake surgery under Local Anesthesia with No Tourniquet (WALANT) has revolutionized clinical hand surgery, improving clinical outcomes and reducing postoperative pain and morbidity. It can also be used to deepen scientific knowledge, because the unsedated patient, with sensation intact and without the adverse effects of tourniquet neurapraxia or paralysis, can follow commands and actively move the limb after tendon and nerve surgery. These movements can be correlated with fingertip force, tendon tension, nerve conduction and amplitude, and muscle sarcomere length measurements to develop new insights into the effectiveness of many different tendon and nerve procedures in the hand.",

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doi = "10.1016/j.hcl.2018.08.003",

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AU - Festen-Schrier, Verena J.M.M.

AU - Amadio, Peter C.

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N2 - Wide Awake surgery under Local Anesthesia with No Tourniquet (WALANT) has revolutionized clinical hand surgery, improving clinical outcomes and reducing postoperative pain and morbidity. It can also be used to deepen scientific knowledge, because the unsedated patient, with sensation intact and without the adverse effects of tourniquet neurapraxia or paralysis, can follow commands and actively move the limb after tendon and nerve surgery. These movements can be correlated with fingertip force, tendon tension, nerve conduction and amplitude, and muscle sarcomere length measurements to develop new insights into the effectiveness of many different tendon and nerve procedures in the hand.

AB - Wide Awake surgery under Local Anesthesia with No Tourniquet (WALANT) has revolutionized clinical hand surgery, improving clinical outcomes and reducing postoperative pain and morbidity. It can also be used to deepen scientific knowledge, because the unsedated patient, with sensation intact and without the adverse effects of tourniquet neurapraxia or paralysis, can follow commands and actively move the limb after tendon and nerve surgery. These movements can be correlated with fingertip force, tendon tension, nerve conduction and amplitude, and muscle sarcomere length measurements to develop new insights into the effectiveness of many different tendon and nerve procedures in the hand.

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KW - Muscle

KW - Nerve

KW - Physiology

KW - Tendon

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ER -

Wide Awake Surgery as an Opportunity to Enhance Clinical Research

Abstract

Keywords

ASJC Scopus subject areas

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