ArticlePlastic and reconstructive surgery. Global open2025
Brachial Plexus Nerve Transfer Under Wide Awake Local Anesthesia No Tourniquet.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- What's New in Wide-Awake Local Anesthesia No Tourniquet (WALANT) Hand Surgery?Journal of hand surgery global online · 2026Review
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Brachial plexus injuries commonly require nerve transfers, traditionally performed under general anesthesia. We propose the wide awake local anesthesia no tourniquet (WALANT) technique, utilizing lidocaine with epinephrine to achieve anesthesia and maintain a bloodless surgical field without general anesthesia. Our initial experience with nerve transfers (eg, ulnar-to-musculocutaneous for elbow flexion) entirely under WALANT demonstrates excellent patient tolerance, minimal pain, and high satisfaction. Intraoperative nerve identification was enhanced by patient feedback and nerve stimulation without anesthesia-related complications. Recovery was rapid, and functional outcomes matched conventional methods. WALANT offers a safe, cost-effective, and patient-friendly alternative, improving surgical accessibility by reducing anesthesia risks and enabling procedures in resource-limited settings.
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Registered trials
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