Wide Awake Hand Surgery and Therapy Tips.

• Author: Lalonde, Donald H.
• Place / Publishing House: NEW YORK : : Thieme Medical Publishers, Incorporated,, 2021.; Ã2021.
• Year of Publication: 2021
• Edition: 2nd ed.
• Language: English
• Physical Description: 1 online resource (476 pages)

The definitive multimedia resource on wide awake hand surgery from renowned experts WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos. WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste. New Features A three times larger video library with more than 500 videos, most of which are new New chapters on upper and lower limb fracture plating of the wrist, forearm, elbow, acromion,

clavicle, tibia, fibula, ankle, and foot More than eight hours of video education covering ultrasound hand diagnosis and ultrasoundguided surgery Innovative hand therapy techniques made possible by WALANT detailed under Therapy Tips The use of pencil test and relative motion splinting to resolve numerous hand problems New strategies to implement WALANT in hospitals This must-have resource will help hand surgeons, hand therapists, and allied nurses prevent unnecessary costs and risks, reduce complications, and improve patient outcomes.

Table of Contents

Wide Awake Hand Surgery and Therapy Tips -- MedOne Access Information -- Tittle Page -- Copyright -- Contents -- Video Contents -- Preface -- Acknowledgments -- Contributors -- Section I Atlas of Tumescent Local Anesthesia Elbow, Forearm, Wrist, Hand, and Finger Injections -- 1 Finger Blocks and Atlas of Images of Tumescent Local Anesthetic Diffusion Anatomy -- Section II General Principles of Wide Awake Hand Surgery -- 2 Advantages of WALANT for Patients, Surgeons, and Anesthesiologists -- 3 Safe Epinephrine in the Finger Means No Tourniquet -- 4 On Using Tumescent Local Anesthesia -- 5 How to Inject Local Anesthetic So That It Does Not Hurt -- 6 Dealing with Systemic Adverse Reactions to Lidocaine and Epinephrine -- 7 Tips on Explaining WALANT to Patients before Surgery -- 8 Teaching Patients and Residents during Surgery Decreases Complications -- 9 Tips on Good Local Anesthesia in Infants and Children -- 10 Moving Surgery out of the Main Operating Room with Evidence-Based Field Sterility -- 11 WALANT and Value in Health Care: Improving Outcomes and Lowering Cost -- 12 WALANT and "The Why": Administration, Anesthesiology, Nursing, and Payers -- 13 Performing Your First Cases with WALANT -- 14 How to Schedule 15 or More Hand Surgery Cases per Day with One Nurse -- 15 Integrating Hand Therapists into WALANT -- 16 Minor Procedure Room Setup -- Section III Details of How to Do WALANT with Therapy Tips for the Upper Extremity -- 17 Trigger Finger -- 18 De Quervain's Release -- 19 Flexor Tendon Repair of the Finger -- 20 Flexor Tendon Repair of the Hand, Wrist, and Forearm -- 21 Extensor Tendon Repair of the Finger (Zone 1 Mallet to Zone 5 MP Joint) -- 22 Extensor Tendon Repair of the Hand, Wrist, and Forearm (Zones 6 to 8) -- 23 Tenolysis -- 24 Tendon Transfers -- 25 Tendon Grafts and Pulley Reconstruction.

26 Carpal Tunnel Decompression of the Median Nerve -- 27 Cubital Tunnel Decompression of the Ulnar Nerve -- 28 Lacertus Syndrome: Median Nerve Release at the Elbow -- 29 Radial and Peroneal Nerve Decompression -- 30 Simultaneous Release of Carpal Tunnel with Cubital Tunnel or Lacertus -- 31 Lacerated Nerves -- 32 Dupuytren's Contracture -- 33 Ganglions and Other Small Soft Tissue Operations -- 34 Flap Harvest and Transfer in the Hand -- 35 Infection Surgery, Compartment Syndrome Release, and Tibial Hematoma Drainage -- 36 Finger Joint Arthroplasty, Fusion, and Ligament Repair -- 37 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair -- 38 Trapeziectomy with or without Ligament Reconstruction for Thumb Basal Joint Arthritis -- 39 Wrist Arthroscopy -- 40 Wrist Arthritis Surgery -- 41 Finger Fractures -- 42 Metacarpal Fractures -- 43 Wrist Fracture and Ligament Injuries -- 44 Distal Radius and Forearm Fractures -- 45 Surgery around the Elbow -- 46 Clavicle and Acromion Fractures -- 47 Finger and Ray Amputation -- 48 Replantation -- 49 What You Need to Know about the Basics of Using Ultrasound for WALANT Hand Surgery -- 50 Ultrasound-Assisted Upper Extremity Procedures -- Section IV WALANT Lower Extremity Surgery -- 51 Patella Fractures -- 52 Tibia and Fibula Fractures -- 53 Foot and Ankle Fractures and Surgery -- Section V Pencil Test and Relative Motion Splinting to Solve Hand Pain Problems and Improve Range of Motion in Stiff Fingers -- 54 Pencil Test and Relative Motion Splinting to Solve Hand Pain and Stiffness after Trauma and Surgery -- Index -- Additional MadeOne Access Information.