دورية أكاديمية
A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study
| العنوان: | A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study |
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| المؤلفون: | Poggetti, A., DEL CHIARO, ANDREA, NICASTRO, MICHELE, Parchi, P., Piolanti, N., Scaglione, M. |
| المساهمون: | Poggetti, A., DEL CHIARO, Andrea, Nicastro, Michele, Parchi, P., Piolanti, N., Scaglione, M. |
| سنة النشر: | 2018 |
| المجموعة: | ARPI - Archivio della Ricerca dell'Università di Pisa |
| مصطلحات موضوعية: | Endocrinology, Diabetes and Metabolism, Immunology and Allergy, Physiology, Immunology, Oncology, Physiology (medical), Cancer Research |
| الوصف: | Hardware removal after surgical treatment fracture is one of the most common procedures in orthopaedic daily activity. A percentage from 14.5 to 21 of total removal involves the ankle joint. Trying to reduce the important socio-economic impact of this surgical procedure, we thought to perform it using the Wide Awake Local Anaesthesia Without Tourniquet (WALANT), a particular technique presented by D. Lalonde that associated a local anaesthetic drug with epinephrine in order to obtain an effective haemostatic effect despite the lack of a tourniquet. Nowadays, the WALANT efficiency and safety in hand surgery is widely demonstrated in literature but there are no data about its use in lower limb extremity surgeries. Authors performed a randomized study with 60 patients whom underwent distal fibula hardware removal between 2014 and 2016; they were divided into two groups: Group A under loco-regional anaesthesia with tourniquet and Group B under WALANT. We did not find significant differences in term of maximum pain level felt during the anaesthesiologic and surgical procedure. However, the use of WALANT significantly reduced post-operative pain levels. The WALANT procedures also reduced the number of hospitalization days. No differences in term of post-operative complication rates were found. In conclusion, the WALANT can be considered as a suitable option for distal fibula hardware removal in selected patients; it shows important clinical and economic advantages compared to the traditional loco-regional anaesthesia with tourniquet. This study also lays the foundation for the use of the WALANT beyond the field of hand surgery only. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/30644283; volume:32; issue:6 (Suppl. 1); firstpage:57; lastpage:63; numberofpages:7; journal:JOURNAL OF BIOLOGICAL REGULATORS & HOMEOSTATIC AGENTS; http://hdl.handle.net/11568/966419Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85060047146; https://www.biolifesas.org/biolife/wp-content/uploads/2019/01/JBRHA32-6s1-abstracts.pdfTest |
| الإتاحة: | http://hdl.handle.net/11568/966419Test https://www.biolifesas.org/biolife/wp-content/uploads/2019/01/JBRHA32-6s1-abstracts.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.CDEC2C98 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |