Wide awake hand surgery and therapy tips

著者

    • Lalonde, Donald H.

書誌事項

Wide awake hand surgery and therapy tips

Donald H. Lalonde

Thieme, c2022

2nd ed

  • : pbk

大学図書館所蔵 件 / 全1件

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注記

Includes bibliographies and index

内容説明・目次

内容説明

The definitive multimedia resource on wide awake hand surgery from renowned experts WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos. WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste. New Features A three times larger video library with more than 500 videos, most of which are new New chapters on upper and lower limb fracture plating of the wrist, forearm, elbow, acromion, clavicle, tibia, fibula, ankle, and foot More than eight hours of video education covering ultrasound hand diagnosis and ultrasoundguided surgery Innovative hand therapy techniques made possible by WALANT detailed under Therapy Tips The use of pencil test and relative motion splinting to resolve numerous hand problems New strategies to implement WALANT in hospitals This must-have resource will help hand surgeons, hand therapists, and allied nurses prevent unnecessary costs and risks, reduce complications, and improve patient outcomes. This book includes complimentary access to a digital copy on https://medone.thieme.com.

目次

Section I Atlas of Tumescent Local Anesthesia Elbow, Forearm, Wrist, Hand, and Finger Injections 1 Finger Blocks and Atlas of Images of Tumescent Local Anesthetic Diffusion Anatomy Section II General Principles of Wide Awake Hand Surgery 2 Advantages of WALANT for Patients, Surgeons, and Anesthesiologists 3 Safe Epinephrine in the Finger Means No Tourniquet 4 On Using Tumescent Local Anesthesia 5 How to Inject Local Anesthetic So That It Does Not Hurt 6 Dealing with Systemic Adverse Reactions to Lidocaine and Epinephrine 7 Tips on Explaining WALANT to Patients before Surgery 8 Teaching Patients and Residents during Surgery Decreases Complications 9 Tips on Good Local Anesthesia in Infants and Children 10 Moving Surgery out of the Main Operating Room with Evidence-Based Field Sterility 11 WALANT and Value in Health Care: Improving Outcomes and Lowering Cost 12 WALANT and "The Why": Administration, Anesthesiology, Nursing, and Payers 13 Performing Your First Cases with WALANT 14 How to Schedule 15 or More Hand Surgery Cases per Day with One Nurse 15 Integrating Hand Therapists into WALANT 16 Minor Procedure Room Setup Section III Details of How to Do WALANT and Therapy Tips for the Upper Extremity Part A Tendon Surgery: Tendon Decompression 17 Trigger Finger 18 De Quervain's Release Part B Tendon Surgery: Lacerated Tendons 19 Flexor Tendon Repair of the Finger 20 Flexor Tendon Repair of the Hand, Wrist, and Forearm 21 Extensor Tendon Repair of the Finger (Zone 1 Mallet to Zone 5 MP Joint) 22 Extensor Tendon Repair of the Hand, Wrist, and Forearm (Zones 6 to 8) Part C Tendon Surgery: Tenolysis 23 Tenolysis Part D Tendon Surgery: Tendon Transfers 24 Tendon Transfers Part E Tendon Surgery: Tendon Grafts and Pulley Reconstruction 25 Tendon Grafts and Pulley Reconstruction Part F Nerve Surgery 26 Carpal Tunnel Decompression of the Median Nerve 27 Cubital Tunnel Decompression of the Ulnar Nerve 28 Lacertus Syndrome: Median Nerve Release at the Elbow 29 Radial and Peroneal Nerve Decompression 30 Simultaneous Release of Carpal Tunnel with Cubital Tunnel or Lacertus 31 Lacerated Nerves Part G Dupuytren, Mass Excision, Flaps, Compartment Syndrome Decompression, and Infection Surgery 32 Dupuytren's Contracture 33 Ganglions and Other Small Soft Tissue Operations 34 Flap Harvest and Transfer in the Hand 35 Infection Surgery, Compartment Syndrome Release, and Tibial Hematoma Drainage Part H Joint and Arthritis Surgery: PIP and MP 36 Finger Joint Arthroplasty, Fusion, and Ligament Repair 37 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair Part I Joint and Arthritis Surgery: Wrist 38 Trapeziectomy with or without Ligament Reconstruction for Thumb Basal Joint Arthritis 39 Wrist Arthroscopy 40 Wrist Arthritis Surgery Part J Upper Limb Bones and Fracture Surgery 41 Finger Fractures 42 Metacarpal Fractures 43 Wrist Fracture and Ligament Injuries 44 Distal Radius and Forearm Fractures 45 Surgery around the Elbow 46 Clavicle and Acromion Fractures Part K Amputation and Replantation 47 Finger and Ray Amputation 48 Replantation Part L Ultrasound Diagnosis and Treatment in Hand Surgery 49 What You Need to Know about the Basics of Using Ultrasound for WALANT Hand Surgery 50 Ultrasound-Assisted Upper Extremity Procedures Section IV WALANT Lower Extremity Surgery 51 Patella Fractures 52 Tibia and Fibula Fractures 53 Foot and Ankle Fractures and Surgery Section V Pencil Test and Relative Motion Splinting to Solve Hand Pain Problems and Improve Range of Motion in Stiff Fingers 54 Pencil Test and Relative Motion Splinting to Solve Hand Pain and Stiffness after Trauma and Surgery

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