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Arch Hand Microsurg > Volume 23(1); 2018 > Article
Archives of Hand and Microsurgery 2018;23(1):1-11.
Published online March 1, 2018.
Wide-Awake Hand Surgery
Sang-Woo Kang1, Young-Woo Kim2, Ji-Kang Park1
1Department of Orthopaedic Surgery, Chungbuk National University Hospital, Cheongju, Korea.
2Department of Hand and Micro Reconstructive Surgery, Institute for Hand and Reconstructive Microsurgery, W Hospital, Daegu, Korea.
Received: 19 February 2018   • Revised: 22 February 2018   • Accepted: 23 February 2018
Wide-awake hand surgery is a surgical procedure that does not use a tourniquet and sedation through lidocaine and epinephrine injections and does not perform regional anesthesia or general anesthesia. Therefore, systemic risk by general anesthesia can be avoided, and more accurate surgeries can be performed through active joint motion during surgery without discomfort due to tourniquet used during local anesthesia. Also, the time and cost associated with anesthesia can be reduced and the hospital day can be reduced by performing the day surgery. The authors will introduce the concept of the wide-awake hand surgery and discuss the indications, drug usage, and injection methods.
Key Words: Anesthesia, Local, Lidocaine, Epinephrine, Tourniquet
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