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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Evaluating patient satisfaction with WALANT for hand surgery: a comprehensive questionnaire-based study.

Ahmed Elsaftawy, Patryk Ostrowski, Michał Bonczar, Dominika Pupka, Szymon Manasterski, Michał Chęciński, Paweł Stajniak

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ahmed ElsaftawyDepartment of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland. ahmed.elsaftawy05@gmail.com.
Patryk OstrowskiDepartment of Anatomy, Jagiellonian University Medical College, Kraków, Poland.
Michał BonczarDepartment of Anatomy, Jagiellonian University Medical College, Kraków, Poland.
Dominika PupkaDepartment of General Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland.
Szymon ManasterskiDepartment of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland.
Michał ChęcińskiDepartment of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland.
Paweł StajniakDepartment of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere has been an increase in the popularity of the wide-awake local anesthesia no-tourniquet (WALANT) procedure for various upper limb surgeries. The present study aims to conduct a comprehensive analysis of the satisfaction levels of 106 patients, considering factors such as age, gender, comorbidities, and the specific procedures they underwent.

methodThe present study was a retrospective cohort study conducted to analyze the overall satisfaction of a cohort of 106 patients who underwent various surgical procedures of the hand between 2018 and 2023. The satisfaction was assessed with a questionnaire comprising 13 questions/statements adjusted to a standard Swiss grading system (from 1 = I strongly agree to 6 = I strongly disagree).

resultsOverall satisfaction with WALANT was high, with most patients expressing positive experiences. Patients with hypertension reported similar satisfaction levels compared to those without, while diabetic patients experienced significantly higher anxiety levels during the procedure (p > 0.05).

conclusionWALANT exhibits versatility as an anesthesia choice, demonstrating efficacy in both routine and complex hand surgeries. Our survey-based study reveals a high satisfaction level across diverse procedures. When assessing the correlation between WALANT satisfaction and patient comorbidities, hypertension displayed no significant impact, while diabetic patients reported heightened anxiety. Importantly, patient satisfaction remained consistently high even within the subgroup with comorbidities. Our results underscore WALANT's reliability in upper limb surgery, showcasing its usefulness and positive outcomes across a broad range of patients and surgical procedures.

Indexed as

Anesthesia, LocalHandPatient SatisfactionAdultAgedAnxietyFemaleHumansMaleMiddle AgedOrthopedic ProceduresRetrospective StudiesSurveys and QuestionnairesAnesthesiaHand surgeryOrthopedicsSurgeryWALANT

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Registered trials

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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.