Ultrasound-Guided WALANT Technique in Carpal Tunnel Decompression Surgery.
| Autor: | Moreira SB; Faculdade de Medicina, Universidade de Araraquara/UNIARA, Araraquara, São Paulo, Brasil.; Universidade de Araraquara/UNIARA, Araraquara, São Paulo, Brasil., Chagas DC; Faculdade de Medicina, Universidade de Araraquara/UNIARA, Araraquara, São Paulo, Brasil., Yamashita CT; Faculdade de Medicina, Universidade de Araraquara/UNIARA, Araraquara, São Paulo, Brasil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2021 Sep 11; Vol. 58 (3), pp. 538-542. Date of Electronic Publication: 2021 Sep 11 (Print Publication: 2023). |
| DOI: | 10.1055/s-0041-1735172 |
| Abstrakt: | Carpal tunnel syndrome (CTS) is the most common compressive neuropathy in the human body. Its symptoms result from compression of the median nerve in the carpus. The treatment can be conservative, with medications and/or infiltrations that alleviate the symptoms, or surgical, which is more effective, with decompression of the median nerve by surgical section of the flexor retinaculum of the carpus. The anesthetic technique varies according to the anesthesia method: sedation, venous locoregional anesthesia and, more recently, wide-awake local anesthesia no tourniquet (WALANT), which can be performed by the surgeons themselves. The WALANT technique uses local anesthesia with a vasoconstrictor, and does not require the use of a tourniquet on the upper limb nor sedation. The median nerve block in ultrasound-guided WALANT provides better accuracy to the technique, with greater patient safety; in the present article, its use in the performance of carpal tunnel decompression is described, and the literature is reviewed. Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses. (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).) |
| Databáze: | MEDLINE |
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