Wide awake local anaesthesia no tourniquet : a review of current concepts

dc.contributor.authorRocher, Antoine G.L.
dc.contributor.authorO’Connor, Megan
dc.contributor.authorKoch, Odette
dc.date.accessioned2022-11-29T13:17:01Z
dc.date.available2022-11-29T13:17:01Z
dc.date.issued2022
dc.description.abstractBACKGROUND : Wide awake local anaesthesia no tourniquet (WALANT) is a local anaesthetic technique that employs lignocaine combined with adrenaline to maintain a pain-free and bloodless field during surgery on an awake patient, without the use of a tourniquet. METHODS : This article is a narrative review of the literature on the use of this mode of anaesthesia in orthopaedic and hand surgery. RESULTS : The review summarises the existing research pertaining to WALANT. It discusses the anaesthetic solution constituents, administration technique and applications of WALANT, highlighting the safety profile and benefits to patients and healthcare systems alike. CONCLUSION : The WALANT technique is safe, economical, and acceptable to patients. It should form part of the orthopaedic surgeon’s armamentarium. Future research should investigate the benefits of intraoperative functional assessment of the awake patient.en_US
dc.description.departmentOrthopaedic Surgeryen_US
dc.description.librariandm2022en_US
dc.description.urihttp://journal.saoa.org.zaen_US
dc.identifier.citationRocher, A.G.L., O’Connor, M. & Koch, O. Wide awake local anaesthesia no tourniquet: a review of current concepts. South African Orthopaedic Journal 2022;21(3):172-179. http://dx.doi.org/10.17159/2309-8309/2022/v21n3a6.en_US
dc.identifier.issn2309-8309 (online)
dc.identifier.issn1681-150X (print)
dc.identifier.other10.17159/2309-8309/2022/ v21n3a6
dc.identifier.urihttps://repository.up.ac.za/handle/2263/88540
dc.language.isoenen_US
dc.publisherMedpharm Publicationsen_US
dc.rights© 2022 Rocher AGL. This is an open-access article distributed under the terms of the Creative Commons Attribution Licence.en_US
dc.subjectNarrative reviewen_US
dc.subjectCurrent concept reviewen_US
dc.subjectAwake surgeryen_US
dc.subjectOrthopaedicen_US
dc.subjectWide awake local anaesthesia no tourniquet (WALANT)en_US
dc.subjectLocal anaesthetic techniqueen_US
dc.titleWide awake local anaesthesia no tourniquet : a review of current conceptsen_US
dc.typeArticleen_US

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