What is WALANT surgery?

WALANT stands for Wide Awake Local Anesthesia No Tourniquet and is a technique used for hand and wrist surgery procedures. The technique does not require any sedation, general anesthesia or tourniquets but uses local anesthesia medications, lidocaine and epinephrine, instead.

What does WALANT stand for?

WALANT, which stands for wide awake local anesthesia no tourniquet, is a type of surgery that doesn’t require general anesthesia.

How do you give WALANT?

WALANT is performed by injecting 1 percent lidocaine with 1:100,000 epinephrine into the planned area of incision and surgical dissection. Often, 8.4 percent bicarbonate is added to diminish the discomfort of the injection. Bupivicaine and ropivicaine are avoided, given their higher potential for cardiotoxicity.

How long does anesthesia last after hand surgery?

If you had a local or regional block anesthetic, your arm or hand may be numb for several hours or even overnight. As the numbness wears off, you may have a tingling or burning sensation which will eventually disappear. If the numbness persists after 24 hours, call your doctor.

What’s the use of Walant in hand surgery?

The Application of WALANT (Wide Awake Local Anesthesia No Tourniquet) in Hand Surgery. Injecting lidocaine with epinephrine is a new alternative to a tourniquet and sedation when performing hand surgery. This is known as the WALANT (wide awake local anesthesia no tourniquet) technique.

Do you need a tourniquet for Walant surgery?

Wide Awake Anesthesia or WALANT (Wide Awake Local Anesthesia with No Tourniquet) has changed the practice of hand surgery. With no need for a tourniquet or sedation, a variety of surgical cases can be done in an outpatient setting outside of the usual hospital operating room suite.

What is wide awake surgery and what is Walant surgery?

The technique is known as Wide Awake Surgery or WALANT surgery, which stands for Wide Awake Local Anesthesia No Tourniquet. Instead of a tourniquet to stop bleeding, WALANT surgery uses an injection of epinephrine to control bleeding and lidocaine to stop pain.

When to use the Walant local anesthesia technique?

This is known as the WALANT(wide awake local anesthesia no tourniquet) technique. WALANT can be applied during both routine and, with experience, complex procedures in the upper limb.