Wide Awake Hand Surgery

Author: LaLonde Donald  

Publisher: Thieme‎

Publication year: 2015

E-ISBN: 9781626237506

P-ISBN(Paperback): 9781626236622

Subject: R608 Surgical instruments and appliances

Keyword: 外科诊疗器械与用具

Language: ENG

Access to resources Favorite

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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?

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3 Safe Epinephrine in the Finger Means No Tourniquet

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4 Tumescent Local Anesthesia

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5 How to Inject Local Anesthetic With Minimal Pain

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6 Dealing With Systemic Adverse Reactions to Lidocaine and Epinephrine

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7 Tips on Talking to Your Patients About WALANT

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8 Talking With Patients During Surgery Saves Time

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9 WALANT Hand Surgery in Infants and Children

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10 Field Sterility for Simple Cases Makes Sense

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11 Revenues Increase and Costs Decrease With WALANT

12 The “Buy-In”: Administration, Anesthesiology, Nursing, and Payers

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13 Performing Your First Cases With WALANT

14 Scheduling Fifteen or More Hand Surgery Cases per Day

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15 Integrating Hand Therapists Into WALANT

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16 Minor Procedure Room Setup

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PART III SPECIFIC DETAILS OF HOW TO PERFORM WIDE AWAKE HAND SURGERY FOR COMMON OPERATIONS

SECTION A AMPUTATION

17 Finger and Ray Amputation

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SECTION B NERVE DECOMPRESSION

18 Carpal Tunnel Decompression of the Median Nerve

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19 Cubital Tunnel Decompression of the Ulnar Nerve

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20 Lacertus Syndrome: Median Nerve Release at the Elbow

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SECTION C TENDON DECOMPRESSION

21 Trigger Finger

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22 De Quervain Release

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SECTION D DUPUYTREN’S CONTRACTURE AND SOFT TISSUE EXCISION

23 Dupuytren’s Contracture

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24 Flexor Sheath Ganglion

25 Small Soft Tissue Operations

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SECTION E ARTHRITIS SURGERY

26 Arthroplasty of the Proximal Interphalangeal Joint

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27 Trapeziectomy With or Without Ligament Reconstruction for Thumb Basal Joint Arthritis

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28 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair

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29 Proximal Interphalangeal Joint Fusion

SECTION F WRIST SURGERY

30 Wrist Arthroscopy

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31 Open Triangular Fibrocartilage Complex Repair

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SECTION G LACERATED TENDONS AND TENOLYSIS

32 Flexor Tendon Repair of the Finger

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33 Flexor Tendon Repair of the Hand

34 Flexor Tendon Repair of the Forearm

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35 Extensor Tendon Repair of the Finger

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36 Extensor Tendon Repair of the Hand

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37 Extensor Tendon Repair of the Forearm

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38 Tenolysis

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SECTION H TENDON TRANSFERS

39 Tendon Transfers

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SECTION I LACERATED NERVES

40 Lacerated Nerves

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SECTION J FRACTURES

41 Finger Fractures

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42 Reduction and Internal Fixation of Metacarpal Fractures

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PART IV COMPLEX RECONSTRUCTIONS

43 Complex Reconstructions in Hand Surgery

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Index

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