Wide Awake Local Anaesthesia No Tourniquet Surgery of the Foot and Ankle: A Review of Indications, Technique, Patient Satisfaction, and Complications
2024

Wide Awake Local Anaesthesia No Tourniquet Surgery of the Foot and Ankle

Sample size: 31 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Hamid Muhammad A, Younis Zubair, Mannan Muhammad, Kalim Zikrullah, Khan Zafar A, Prabhu Rudra M, Shrivastava Nayan, Rashid Nadia

Primary Institution: University Hospitals Birmingham

Hypothesis

The study aims to describe the scope of WALANT in foot and ankle procedures and explore its current role in lower extremity wide-awake surgery.

Conclusion

WALANT is a safe and effective technique for foot and ankle surgeries, providing adequate anaesthesia and haemostasis without the complications associated with general anaesthesia or tourniquet use.

Supporting Evidence

  • WALANT has been shown to provide adequate anaesthesia and a bloodless field during surgery.
  • Patients reported lower levels of postoperative anxiety and pain compared to general anaesthesia.
  • WALANT reduces the need for anaesthetic staff and associated costs.

Takeaway

WALANT is a way to do foot and ankle surgery while the patient is awake, which helps reduce pain and recovery time.

Methodology

The study reviews existing literature on WALANT in foot and ankle surgeries, analyzing patient outcomes, satisfaction, and complications.

Potential Biases

Potential recall bias due to the retrospective nature of some studies included.

Limitations

The study lacks a control group for comparison and does not assess pain scores in the postoperative period.

Participant Demographics

Patients undergoing various foot and ankle procedures, including fractures and tendon repairs.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.7759/cureus.74939

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication