Evaluating Clinical Outcomes for Determining the Optimal Delay to Skin Incision Under WALANT: a Prospective Series of 34 Patients From a Low Resource Tertiary Setting
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- VRS Score
研究概览
简要总结
Further studies are needed to establish the effects of WALANT in performing most common hand surgeries, in relation to its clinical outcomes and intraoperative blood loss. Therefore, this study aims to identify the best interval time to perform elective hand surgeries using WALANT technique, document clinical outcomes and identify potential complications
详细描述
To propose the optimal time delay from the injection to skin incision for most WALANT surgeries of the hand or wrist by analyzing not only intraoperative blood loss, but also postoperative pain scores and complication rates
To determine if there is a difference between performing the WALANT technique with a waiting interval of 7 minutes as compared to 30 minutes prior to incision in relation to blood loss, pain scores, and complications.
Initiate the use of WALANT technique and its application in practice of Orthopaedic Residents in East Avenue Medical Center
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •. Signed Consent Form
- •Elective Hand Surgeries
- •Minor Hand Surgeries
- •Adult Male/Female ages 18 and above
- •Multiply injured
排除标准
- •Multiply injured patient
- •Traumatic Hand Injuries
- •Known allergic reaction to either Epinephrine or Lidocaine.
- •Known heart condition
- •Patients on anticoagulants
- •Patients diagnosed with bleeding disorders
结局指标
主要结局
VRS Score
时间窗: 24 weeks
Verbal Rating Scale 1. 0 for no pain 2. 1 for mild pain 3. 2 for moderate pain 4. 3 for severe pain 5. 4 for very severe pain
次要结局
- Blood Loss(24 weeks)
研究者
Alvin A. Hernandez
Principal Investigator
East Avenue Medical Center, Philippines