Performing Hand Surgery Under Local Anesthesia Without a Tourniquet in China - 20/12/17

Doi : 10.1016/j.hcl.2017.04.013

Jin Bo Tang, MD ^a,^⁎ , Ke Tong Gong, MD ^b, Lai Zhu, MD ^c, Zhang Jun Pan, MD ^d, Shu Guo Xing, MD ^a
^a Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China
^b Department of Hand Surgery, Tianjing Hospital, Tianjing, China
^c Hand Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China
^d Department of Surgery, Yixing People's Hospital, Yixing, Jiangsu, China

^∗Corresponding author. Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China.Department of Hand SurgeryThe Hand Surgery Research CenterAffiliated Hospital of Nantong University20 West Temple RoadNantongJiangsu226001China

Resumen

In China, wide-awake surgeries are increasingly used by surgeons in a growing number of hospitals for hand and upper extremity surgeries. Experience suggests that wide-awake surgery is safe, economical, and patient-friendly, optimizing hospital resource allocation and increasing efficiency. This article discusses which procedures are most suitable, variations in procedures, departmental impacts, and future direction.

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Keywords : Anesthesia, Tourniquet, Carpal tunnel release, Hand fractures, Tendon repairs, Tumor resection, Cost and efficiency of hand surgery