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Tytuł:
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WALANT Hand Surgery: Do the AORN Guidelines Apply?
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Autorzy:
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Avoricani A; Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York.
Dar QA; Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York.
Levy KH; Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York.
Koehler SM; Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York.
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Źródło:
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Journal of surgical orthopaedic advances [J Surg Orthop Adv] 2021 Fall; Vol. 30 (3), pp. 156-160.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Towson, MD : Data Trace Pub. Co., c2003-
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MeSH Terms:
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Anesthesia, Local*
Orthopedic Procedures*
Anesthetics, Local ; Female ; Hand/surgery ; Humans ; Tourniquets
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Substance Nomenclature:
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0 (Anesthetics, Local)
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Entry Date(s):
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Date Created: 20210930 Date Completed: 20211004 Latest Revision: 20211004
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Update Code:
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20240105
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PMID:
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34591004
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This study evaluates current guidelines for patients receiving local anesthesia, set forth by the Association of Perioperative Nurses (AORN), within the context of hand surgery. The study reviewed 217 patients and 265 operations performed under wide-awake local anesthesia no tourniquet (WALANT) technique in an outpatient procedure room with minor field sterility. Only the surgeon, one resident, and one circulating nurse were present. All surgical complications were documented, including any infection at postoperative follow-ups. One female patient developed a deep surgical site infection (SSI) following repair of her flexor digitorum superficialis and flexor digitorum profundus, which resolved after irrigation/debridement. We report 0% intraprocedural complication, 0% superficial SSI, and 0.37% deep SSI (n = 1) incidence across this cohort. Most institutions require two nurses present for local anesthesia, but our low complication and infection incidence suggest a single circulating nurse present during WALANT hand surgeries may improve nurse staffing, drive greater turnover efficiency, and reduce costs. (Journal of Surgical Orthopaedic Advances 30(3):156-160, 2021).
