To campare the analgesic effect of Wide-Awake Local Anaesthesia No Tourniquet technique (WALANT) with regional anaesthesia with tourniquet in hand surgeries.

Not Applicable

• Conditions: Health Condition 1: O- Medical and Surgical

• Registration Number: CTRI/2024/05/066922
• Lead Sponsor: Deepika Attri

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 27 May 2024

Recruitment & Eligibility

• Status: ot Yet Recruiting
• Sex: Not specified
• Target Recruitment: 0

Inclusion Criteria

Adults=18 years old.

2. ASA 1- 3

3. Clinical diagnosis of acute flexor tendon injury at wrist and hand (zone 1-5) injury

within 2 weeks of injury.

4. Carpal tunnel, Duptyren’s contracture release

5. Fixation of phalangeal and metacarpal fracture.

6. The patient understands and is willing to participate and can comply with the follow-

up regime

Exclusion Criteria

1. Tendon not amendable to primary repair (gross wound contamination, segmental

tendon loss, associated fractures or mangled hand injuries).

2. Secondary tendon repair or reconstruction.

3. History of allergy to Local Anaesthetic (LA).

4. Refusal to have LA or deemed non-cooperative to be performed without sedation.

5. Pre-existing deformity of finger or hand.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare post-operative pain scores every 6 hourly up to first 24 hours among the two <br/ ><br>groups using the Numerical Rating Scale (NRS)Timepoint: baseline, 6 hours, 12 hours, 24 hours

Secondary Outcome Measures

Name	Time	Method
1. To compare Intra-operative pain scores using NRS scale at every 1 hour time point <br/ ><br>2. To compare intra operative blood loss <br/ ><br>3. To compare Total surgical time between the two groups <br/ ><br>4. To compare Total anesthesia time between the two groups <br/ ><br>5. To compare Quality of surgical field <br/ ><br>6. To compare post operative analgesic consumption including opiod consumption. <br/ ><br>7. To compare Post operative Adverse effects- incidence of torniquet pain, digital necrosis, <br/ ><br>residual weaknessTimepoint: To compare post-operative pain scores every 6 hourly up to first 24 hours among the two <br/ ><br>groups using the Numerical Rating Scale (NRS)