Clinical trial NCT05767944: Awake Local Anesthesia Infiltration Compared to Regional Nerve Block for Hand Surgeries
Official title: Wide-Awake Local Anesthesia No Tourniquet (WALANT) Versus Regional Anesthesia With Tourniquet for Hand Flexor Tendon Repair Surgeries in Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Anaesthesia Conduction
Keywords: WALANT (Wide-Awake Local Anesthesia No Tourniquet )
Regional Anesthesia
Hand flexor Tendon Repair
Supra-clavicular brachial plexus block
Hand surgery
Lead sponsor: Ain Shams University
Sponsor class: OTHER
First posted: 2023-03-14
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: patients were allocated to one of two groups. one received WALANT (with no tourniqut) \& the other (control) group received supra-clavicular block (with tourniquet). Groups were compared for anaesthesia efficiency
Primary purpose: OTHER

Brief summary: The study trying to fined out the best anaesthesia technique for hand flexor procedures which provide efficient anaesthesia while providing adequate surgical field exposure \& less blood loss

Detailed description: The current study compared patients scheduled for hand surgical procedures using wide awake local anaesthetic infiltration to those receiving supra-clavicular brachial plexus block. the comparison including adequacy of pain control, blood loss, patient satisfaction, time \& skills needed to provide aesthetic technique.

Eligibility criteria: Inclusion Criteria:

* Participants were included if they were to be scheduled for Flexor tendon repair (Interventions involving flexor tendons of the wrist (Flexor Carpi Ulnaris (FCU), Flexor Carpi Radialis (FCR), and/or Palmaris Longus PL), fingers (flexor digitorum Profundus FDP and/or Flexor Digitorum Superficialis FDS) and thumb (Flexor Pollicis Longus FPL)), aged 18 years or over \& of ASA physical status I or II.

Exclusion Criteria:

* Participants were excluded if they were (American society of Anaesthesia) ASA physical status III or IV, refusal of anaesthetic procedure or refuse to participation in the study, documented hypersensitivity to lidocaine, compromised peripheral circulation (Patients with previous vascular injury, vasculitis, Buerger's disease, and scleroderma), evidence of infection at injection site, patients with ischemic heart disease or psychiatric illness and patients with concomitant injuries that needed further operative procedure under general anesthesia or spinal anesthesia.

Primary outcomes:
measure: Intra-operative pain score
timeFrame: duration of operation
Secondary outcomes:
measure: anaesthesia induction time
timeFrame: duration of operation
measure: Blood loss
timeFrame: duration of operation
measure: intra-operative preserved motor power intraoperative
timeFrame: duration of operation
measure: operative time
timeFrame: duration of operation
measure: patient satisfaction
timeFrame: 12 hours post operative
measure: postoperative pain scores
timeFrame: 12 hours postoperatively
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Ain Shams University Hospitals
Study officials:
affiliation: Assistant professor, Ain Shams University, Faculty of Medicine
name: Salwa O. Mohammed, M.D.
role: PRINCIPAL_INVESTIGATOR
References: