ReviewJournal of hand surgery global online2022
Current Evidence Involving WALANT Surgery.
Review in Journal of hand surgery global online, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05819801 (Effect of Fasting on Patient Outcomes After Wide-Awake, Local Anesthesia-only, No Tourniquet), which is not on this map. Cited by 24 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Fasting on Patient Outcomes After Wide-Awake, Local Anesthesia-only, No Tourniquet (WALANT) Procedures
Who cites it
24 citing papers in PubMed, 43 citations in OpenAlex.
- WALANT Versus Sedation for Hand Trauma: A Comparative Cost Analysis in a Portuguese Public Hospital.Plastic and reconstructive surgery. Global open · 2026Article
- The value proposition of wide-awake local anesthesia no tourniquet surgery in the upper extremity.Bulletin of the Hospital for Joint Disease (2013) · 2026Review
- Comparing Complication Rates in Procedures Performed in the Operating Room Versus In-Office: A Cohort Study.Hand (New York, N.Y.) · 2026Article
- Patient Satisfaction and Perioperative Outcomes of Wide-Awake Local Anesthesia No Tourniquet Versus Supraclavicular Peripheral Nerve Block in Elective Hand and Forearm Surgery: A Prospective Comparative Study.Journal of clinical medicine · 2026Article
- Outcomes of flexor carpi radialis tendon transfer surgery for patients with radial nerve injury: a comparison of the wide-awake method and general anesthesia.European journal of translational myology · 2025Article
- Article
- Impact of Wide-Awake Local Anesthesia No Tourniquet Surgery on Education During Surgical Training: A Survey of Residents and Fellowship Directors.Journal of hand surgery global online · 2025Article
- Hand Surgery Anaesthesia Innovations: Balancing Efficiency, Cost, and Comfort with WALANT, Ultrasound, and Emerging Adjuncts-A Narrative Review.Journal of clinical medicine · 2025Review
- An Innovative Strategy for Sustainability Assurance in Orthopedic Surgery.Medical sciences (Basel, Switzerland) · 2025Article
- Suture suspension arthroplasty for thumb carpometacarpal osteoarthritis under wide-awake anesthesia.Journal of hand and microsurgery · 2025Article
- Introducing a new proforma for the safe use of intraoperative tourniquets in orthopaedic surgery.Annals of the Royal College of Surgeons of England · 2025Article
- Patients Tracking Pain Episodes Show Wide-awake Local Anesthesia Without Tourniquet Can Be Nearly Painless.Plastic and reconstructive surgery. Global open · 2025Article
- A Comparative Analysis of Endoscopic Carpal Tunnel Release Performed Under Wide-Awake, Local Anesthesia, No Tourniquet in an Office-based Procedure Room Versus Operating Room Setting.Journal of hand surgery global online · 2025Article
- Comparison of WALANT and general anaesthesia for trapeziectomy and abductor pollicis longus hammock ligamentoplasty.Journal of hand and microsurgery · 2025Article
- Management of humeral shaft nonunion using the WALANT technique.Trauma case reports · 2024Article
- Review
- Possible Bupivacaine Induced Hepatitis Following Wide Awake, Local Anesthesia, No Tourniquet Carpal Tunnel Surgery: A Case Report.Journal of hand surgery global online · 2024Article
- Local/Regional Anesthesia Versus General Anesthesia in Phalanx Fractures/Dislocations.Plastic surgery (Oakville, Ont.) · 2024Article
- Evaluating patient satisfaction with WALANT for hand surgery: a comprehensive questionnaire-based study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Cinnamon Roll Technique with WALANT for Nipple Reduction.Aesthetic plastic surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Wide-awake local anesthesia no-tourniquet (WALANT) surgery is an attractive option for hand surgeons, particularly during resource-scarce periods, as it eliminates dependence on main operating rooms or hospital-based procedures. The limited prepping or draping used for WALANT field sterility is as effective, if not more effective, than standard sterile prepping or draping. Patient anxiety surrounding WALANT surgery is similar to or less than that of general or local anesthesia with or without tourniquet. Patients use the same or lower amounts of postoperative narcotics after WALANT as compared to after the other anesthetic methods. Wide-awake local anesthesia no-tourniquet surgery saves significant costs for the same surgeries when performed under general or local anesthesia with or without tourniquet. There are very few complications associated with the WALANT method of anesthesia; rare case reports include vasovagal syncope and cardiac arrhythmia due to inadvertent intravascular injection of epinephrine.
Indexed as
Identifiers
What OpenQuestion holds
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.