Early Rehabilitation After Hand or Wrist Ambulatory Surgery : How to Preserve Locomotion at Home Without Rebound Pain?

Study Overview
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Brief Summary
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The purpose of this retrospective study is to compare the analgesic efficacy of Walant  Wide Awake Local Anesthesia No Tourniquet  with lidocaine and bupivacaine versus axillary brachial plexus block using mepivacaïne, both performed by anesthesiologists, after hand or wrist ambulatory surgery. The main objective is to prove that Walant block improve pain relief at home measuring time to first analgesic request. The secondary objectives are to compare maximal pain, consumption of supplementary analgesics, and the duratin of sensory block between groups.

Detailed Description
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data will be collected on patient records and will be compared between groups of regional anesthesia. Data will be : time to first analgesic request sensory block rescue analgesia during the first 24 hours after surgery maximal pain score during the first 24 hours after surgery patient satisfaction of managing care

Official Title
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Early Rehabilitation After Hand or Wrist Ambulatory Surgery : How to Preserve Locomotion at Home Without Rebound Pain? Study Walant  Wide Awake Local Anesthesia No Tourniquet  Versus Axillary Brachial Plexus Block.

Conditions
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Hand Surgery, Wrist Surgery

Intervention / Treatment
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* Other: Regional anesthesia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - All adults patients scheduled for hand or wrist ambulatory surgery since 2016 Exclusion criteria: - NA

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Walant group<br>Walant group | Other: Regional anesthesia<br>* Injection of local anesthetics by a regional anesthesia named Walant block (Wide Awak Local anesthesia No Tourniquet)or by axillary brachial plexus block.<br>|
| Axillary Brachial Plexus Block<br>Axillary Brachial Plexus Block | Other: Regional anesthesia<br>* Injection of local anesthetics by a regional anesthesia named Walant block (Wide Awak Local anesthesia No Tourniquet)or by axillary brachial plexus block.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| duration of analgesia | time to first rescue analgesic request (opioid) | 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| maximal pain score during the first 24 hours after surgery | Pain assessments during first 24 hours : maximal pain score during the first 24 hours after surgery | 24 hours | 
| total rescue analgesia amounts the first 24 hours after surgery | Pain assessments during first 24 hours : total rescue analgesia amounts the first 24 hours after surgery | 24 hours | 
| duration of sensory block | Pain assessments during first 24 hours : duration of sensory block | 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Regional anesthesia, Walant block