Evidence map›Paper›PMID 40933062›Full record

ArticleJournal of hand surgery global online2025

Wide-Awake Local Anesthesia No Tourniquet in Adolescent Hand Surgery: A Systematic Review.

Hannah Polley, Benjamin Blackman, John Tristan Cassidy, Johan van der Stok

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hannah PolleySchool of Medicine, University of Limerick, Limerick, Ireland.
Benjamin BlackmanSchool of Medicine, University of Limerick, Limerick, Ireland.
John Tristan CassidyDepartment of Trauma & Orthopaedic Surgery, University Hospital Limerick, Limerick, Ireland.
Johan van der StokDepartment of Trauma & Orthopaedic Surgery, University Hospital Limerick, Limerick, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Wide-awake local anesthesia no tourniquet (WALANT) allows for intraoperative assessment of function while minimizing systemic anesthesia effects and is frequently used in adult hand surgery. However, the safety and feasibility of WALANT in adolescents remains uncertain because of potential challenges with adherence and cooperation. This review aimed to compile the evidence for using WALANT in adolescents. Methods: PubMed, Medline, Embase, and Scopus were searched from inception to December 2024. Comparative and cohort studies were included. Outcomes, including procedure time, length of hospital stay, and pain scores, were analyzed. Because of the heterogeneity of outcomes investigated, a narrative review was performed. Results: Four studies, three case-control studies (n = 287) and one case series (n = 6), involving 166 WALANT surgeries were included. The mean age across all patients, including WALANT and control, was 14, with a range of 7-20 years old. The most common WALANT procedures were tendon repair (22.3%, n = 37) and ganglion removal (22.3%, n = 37), followed by digital nerve repair (18.1%, n = 30). One conversion (0.6%) to a general anesthetic was reported. Conclusions: Current evidence on the utilization of WALANT in adolescents is limited; WALANT may reduce procedure time, length of hospital stay, and improve pain scores.Type of study/level of evidence: Therapeutic IV.

Indexed as

AdolescentsHand surgeryLocal anesthesiaNo tourniquetOutcomes

Identifiers

PMID40933062
PMCPMC12419090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.