Ignite Creation Date:
2024-05-06 @ 6:40 PM
Last Modification Date:
2024-10-26 @ 2:52 PM
Study NCT ID:
NCT05747846
Status:
COMPLETED
Last Update Posted:
2023-08-29
First Post:
2023-01-25
Brief Title:
Pain in Carpal Tunnel Release Wide-awake Local Anesthesia With no Tourniquet vs Local Anesthesia With Tourniquet
Sponsor:
Hospital Italiano de Buenos Aires
Organization:
Hospital Italiano de Buenos Aires
Study Overview
Official Title:
Intraoperative Pain in Carpal Tunnel Release Wide-awake Local Anesthesia With no Tourniquet vs Local Anesthesia With Tourniquet
Status:
COMPLETED
Status Verified Date:
2023-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to compare pain satisfaction and experience between patients who underwent Carpal Tunnel Release with wide-awake local anesthesia no tourniquet technique and local anesthesia with a tourniquet
Detailed Description:
The surgical pathology of the hand has grown exponentially In most cases the resolution is performed in outpatients with short surgical times Given the increased demand for this type of surgery surgeons have sought different variables to reduce the costs and human resources Thus the wide-awake local anesthesia no tourniquet procedure WALANT It deals with the non-need for anesthetic monitoring and with the regional use of anesthesia with epinephrine
Its use avoids placing a pneumatic cuff on the arm owing to the vasoconstrictive action of epinephrine However the drug takes 25-30 minutes to achieve the maximum hemostatic effect and adverse effects such as distal necrosis have been reported
Therefore the technique of local anesthesia without epinephrine with a tourniquet LA-T is also used daily by hand surgeons
The use of a tourniquet a pneumatic cuff for less than 20 minutes has been associated with the same or lower pain profiles than the wide-awake local anesthesia no tourniquet without running the risk of adverse effects of epinephrine
The objective of this study is to compare and assess pain and patient experience after short-duration hand surgery using the WALANT and LA-T techniques The investigators hypothesized that both types of procedures had a similar level of satisfaction
Its use avoids placing a pneumatic cuff on the arm owing to the vasoconstrictive action of epinephrine However the drug takes 25-30 minutes to achieve the maximum hemostatic effect and adverse effects such as distal necrosis have been reported
Therefore the technique of local anesthesia without epinephrine with a tourniquet LA-T is also used daily by hand surgeons
The use of a tourniquet a pneumatic cuff for less than 20 minutes has been associated with the same or lower pain profiles than the wide-awake local anesthesia no tourniquet without running the risk of adverse effects of epinephrine
The objective of this study is to compare and assess pain and patient experience after short-duration hand surgery using the WALANT and LA-T techniques The investigators hypothesized that both types of procedures had a similar level of satisfaction
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None