Description
In short order, I went from skeptic to convert.... The nearly 160 videos, narrated by Dr Lalonde, are a treat....Dr Lalonde's argument for using WALANT anesthesia in hand surgery is compelling. Furthermore, I am convinced that this method represents a paradigm shift in the administration of anesthesia for our patients. -- Journal of Hand Surgery
Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure.
Presented in an easy-to-read, bullet-point format, Wide Awake Hand Surgery guides surgeons through all aspects of WALANT. The book covers a wide variety of topics including minimal pain injection of local anesthesia, nerve and tendon decompression, wrist surgery, repair of lacerated tendons, tendon transfers, finger fractures, lacerated nerves, metacarpal fractures, arthritis surgery and complex reconstructions in hand surgery.
The book includes more than 150 step-by-step surgical and instructional videos as well as numerous color clinical photographs. Color drawings clearly guide the surgeon to the correct anatomic locations for anesthetic injections, and the book includes an atlas of tumescent local anesthesia distribution anatomy. Featuring a complimentary eBook, this valuable resource offers chap
Chapter
PART I ATLAS OF TUMESCENT LOCAL ANESTHESIA WITH FOREARM, WRIST, HAND, AND FINGER INJECTIONS
1 Atlas of Images of Local Anesthetic Diffusion Anatomy
PART II GENERAL PRINCIPLES OF WIDE AWAKE HAND SURGERY
2 What Is Wide Awake Hand Surgery?
3 Safe Epinephrine in the Finger Means No Tourniquet
4 Tumescent Local Anesthesia
5 How to Inject Local Anesthetic With Minimal Pain
6 Dealing With Systemic Adverse Reactions to Lidocaine and Epinephrine
7 Tips on Talking to Your Patients About WALANT
8 Talking With Patients During Surgery Saves Time
9 WALANT Hand Surgery in Infants and Children
10 Field Sterility for Simple Cases Makes Sense
11 Revenues Increase and Costs Decrease With WALANT
12 The “Buy-In”: Administration, Anesthesiology, Nursing, and Payers
13 Performing Your First Cases With WALANT
14 Scheduling Fifteen or More Hand Surgery Cases per Day
15 Integrating Hand Therapists Into WALANT
16 Minor Procedure Room Setup
PART III SPECIFIC DETAILS OF HOW TO PERFORM WIDE AWAKE HAND SURGERY FOR COMMON OPERATIONS
17 Finger and Ray Amputation
SECTION B NERVE DECOMPRESSION
18 Carpal Tunnel Decompression of the Median Nerve
19 Cubital Tunnel Decompression of the Ulnar Nerve
20 Lacertus Syndrome: Median Nerve Release at the Elbow
SECTION C TENDON DECOMPRESSION
SECTION D DUPUYTREN’S CONTRACTURE AND SOFT TISSUE EXCISION
23 Dupuytren’s Contracture
24 Flexor Sheath Ganglion
25 Small Soft Tissue Operations
SECTION E ARTHRITIS SURGERY
26 Arthroplasty of the Proximal Interphalangeal Joint
27 Trapeziectomy With or Without Ligament Reconstruction for Thumb Basal Joint Arthritis
28 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair
29 Proximal Interphalangeal Joint Fusion
31 Open Triangular Fibrocartilage Complex Repair
SECTION G LACERATED TENDONS AND TENOLYSIS
32 Flexor Tendon Repair of the Finger
33 Flexor Tendon Repair of the Hand
34 Flexor Tendon Repair of the Forearm
35 Extensor Tendon Repair of the Finger
36 Extensor Tendon Repair of the Hand
37 Extensor Tendon Repair of the Forearm
SECTION H TENDON TRANSFERS
SECTION I LACERATED NERVES
42 Reduction and Internal Fixation of Metacarpal Fractures
PART IV COMPLEX RECONSTRUCTIONS
43 Complex Reconstructions in Hand Surgery