ArticleRevista brasileira de ortopedia
488 hand surgeries with local anesthesia with epinephrine, without a tourniquet, without sedation, and without an anesthesiologist.
Article in Revista brasileira de ortopedia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- Tranexamic acid as an alternative to epinephrine in WALANT carpal tunnel release: a randomized clinical trial.BMC surgery · 2026Trial
- IMPLEMENTATION OF WALANT ANESTHESIA FOR HAND AND WRIST SURGERIES IN A TERTIARY HOSPITAL: PILOT STUDY.Acta ortopedica brasileira · 2025Article
- Reevaluating the epinephrine myth: A comprehensive review.Indian journal of pharmacology · 2024Review
- Ultrasound-Guided WALANT Technique in Carpal Tunnel Decompression Surgery.Revista brasileira de ortopedia · 2023Article
- Diagnosis and Treatment of Trigger Finger in Brazil - A Cross-Sectional Study.Revista brasileira de ortopedia · 2021Article
- Carpal Tunnel Syndrome Surgery: What You Should Know.Plastic and reconstructive surgery. Global open · 2020Review
- BENEFITS OF THE WALANT TECHNIQUE AGAINST THE COVID-19 PANDEMIC.Acta ortopedica brasileiraArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesEvaluate the incidence of digital infarction and tissue necrosis using local anesthesia with 1% lidocaine and 1:100,000 epinephrine in wrist, hand, and fingers surgeries, without a tourniquet, without sedation, and without an anesthesiologist.
methodsPatients with wrist, hand, and fingers disorders prospectively underwent surgery under local anesthesia with 1% lidocaine and 1:100,000 epinephrine. The primary outcomes evaluated were the presence of digital infarction and tissue loss due to necrosis. As secondary outcomes, the need for the use of sedatives, tourniquet, anesthesiologist assistance, or surgery suspension were evaluated.
resultsFifty-three wrists, 307 hands, and 128 fingers were anesthetized with lidocaine and epinephrine without any complications related to epinephrine. There was no patient that presented with any of the primary or secondary outcomes.
conclusionsWrist, hand, and fingers surgeries can be safely performed with local anesthesia with 1% lidocaine and 1:100,000 epinephrine, without sedation, without a tourniquet, and without an anesthesiologist.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.