Evaluating Clinical Outcomes for Determining the Optimal Delay to Skin Incision Under WALANT

East Avenue Medical Center, Philippines

Status: Completed

Conditions: Orthopedic Surgery; Hand Surgery

Treatments: Other: WALANT Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT04491656

EAMC IERB 2020 - 03

Details and patient eligibility

About

Further studies are needed to establish the effects of WALANT in performing most common hand surgeries, in relation to its clinical outcomes and intraoperative blood loss. Therefore, this study aims to identify the best interval time to perform elective hand surgeries using WALANT technique, document clinical outcomes and identify potential complications

Full description

To propose the optimal time delay from the injection to skin incision for most WALANT surgeries of the hand or wrist by analyzing not only intraoperative blood loss, but also postoperative pain scores and complication rates

To determine if there is a difference between performing the WALANT technique with a waiting interval of 7 minutes as compared to 30 minutes prior to incision in relation to blood loss, pain scores, and complications.

Initiate the use of WALANT technique and its application in practice of Orthopaedic Residents in East Avenue Medical Center

Enrollment: 34 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. . Signed Consent Form
2. Elective Hand Surgeries
3. Minor Hand Surgeries
4. Adult Male/Female ages 18 and above
5. Multiply injured

Exclusion criteria

1. No Consent
2. Multiply injured patient
3. Traumatic Hand Injuries
4. Known allergic reaction to either Epinephrine or Lidocaine.
5. Known heart condition
6. Patients on anticoagulants
7. Patients diagnosed with bleeding disorders

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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34 participants in 2 patient groups

7 minutes group

Active Comparator group

Description:

surgeries performed with this group would wait 7 minutes after lidocaine+epinephrine injection prior to skin incision

Treatment:

Other: WALANT Technique

30 minutes group

Active Comparator group

Description:

surgeries performed with this group would wait 30 minutes after lidocaine+epinephrine injection prior to skin incision

Treatment:

Other: WALANT Technique