title: Minimally invasive anesthesia in wide awake hand surgery.
abstract: Tumescent minimally invasive local anesthesia is eliminating the need for sedation and proximal nerve blocks as well as all of their risks, costs, and inconveniences. It has facilitated advances in procedures such as hand fracture reduction, tendon repair, and tendon transfer by allowing the surgeon to see cooperative patient active movement during the surgery. It has improved the patient experience for simple hand operations such as carpal tunnel release.
authors.affiliation: Surgery, Dalhousie University, Hilyard Place, Suite C204, 600 Main Street, Saint John, New Brunswick E2K 1J5, Canada. Electronic address: drdonlalonde@nb.aibn.com.
authors.forename: Don
authors.initials: D
authors.lastname: Lalonde
mesh_terms: D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D002349:Carpal Tunnel Syndrome / Q000601:surgery; D004837:Epinephrine; D006225:Hand / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D019637:Orthopedic Procedures / Q000379:methods*; D017060:Patient Satisfaction; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine
keywords: Epinephrine finger; Sedation-free; Tourniquet-free; WALANT; Wide-awake