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El. knyga: Wide Awake Hand Surgery and Therapy Tips

  • Formatas: 474 pages
  • Išleidimo metai: 17-Nov-2021
  • Leidėjas: Thieme Medical Publishers Inc
  • Kalba: eng
  • ISBN-13: 9781638535034
  • Formatas: 474 pages
  • Išleidimo metai: 17-Nov-2021
  • Leidėjas: Thieme Medical Publishers Inc
  • Kalba: eng
  • ISBN-13: 9781638535034

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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.

Video Contents xiv
Preface xliii
Acknowledgments xliv
Contributors xlv
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
3(14)
Donald H. Lalonde
Video Clips 1.1, 1.2
SECTION II GENERAL PRINCIPLES OF WIDE AWAKE HAND SURGERY
2 Advantages of WALANT for Patients, Surgeons, and Anesthesiologists
17(6)
Alistair Phillips
Nikolas Alan Jagodzinski
Yin-Ming Huang
Donald H. Lalonde
Video Clips 2.1, 2.2, 23, 2.4, 2.5, 2.6
3 Safe Epinephrine in the Finger Means No Tourniquet
23(10)
Donald H. Lalonde
Robert E. Van Demark Jr.
Chris Chun-Yu Chen
Video Clips 3.1, 3.2, 33, 3.4, 3.5
4 On Using Tumescent Local Anesthesia
33(10)
Donald H. Lalonde
Amir Adham Ahmad
Alistair Phillips
Video Clip 4.1
5 How to Inject Local Anesthetic So That It Does Not Hurt
43(14)
Donald H. Lalonde
Video Clips 5.1, 5.2, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8
6 Dealing with Systemic Adverse Reactions to Lidocaine and Epinephrine
57(8)
Donald H. Lalonde
Video Clip 6.1
7 Tips on Explaining WALANT to Patients before Surgery
65(6)
Nikolas Alan Jagodzinski
Alistair Phillips
Donald H. Lalonde
Video Clips 7.1, 7.2, 7.3
8 Teaching Patients and Residents during Surgery Decreases Complications
71(8)
Donald H. Lalonde
Duncan McGrouther
Video Clips 8.1, 8.2, 8.3a, 83b, 8.4, 8.5, 8.6, 8.7
9 Tips on Good Local Anesthesia in Infants and Children
79(4)
Donald H. Lalonde
Geoffrey Cook
Steven Koehler
Chao Chen
Video Clip 9.1, 9.2, 9.3, 9.4, 9.5, 9.6, 9.7, 9.8, 9.9, 9.10, 9.11
10 Moving Surgery out of the Main Operating Room with Evidence-Based Field Sterility
83(6)
Donald H. Lalonde
Nikolas Alan Jagodzinski
Robert E. Van Demark Jr.
Video Clip 10.1
11 WALANT and Value in Health Care: Improving Outcomes and Lowering Cost
89(12)
Peter J. L. Jebson
Kevin T. K. Chan
Levi L. Hinkelman
Daniel Hess
Robert E. Van Demark Jr.
Mark Baratz
Leigh-Anne Tu
Donald H. Lalonde
Video Clips 11.1, 11.2
12 WALANT and "The Why": Administration, Anesthesiology, Nursing, and Payers
101(18)
Peter J. L. Jebson
Kevin T. K. Chan
Levi L. Hinkelman
Daniel Hess
Julie E. Adams
Michael W. Neumeister
Robert E. Van Demark Jr.
Peter C. Amadio
Donald H. Lalonde
Video Clips 12.1, 12.2, 12.3
13 Performing Your First Cases with WALANT
119(6)
Andrew W. Gurman
Robert E. Van Demark Jr.
Giinter Germann Jason Wong
Donald H. Lalonde
Video Clip 13.1
14 How to Schedule 15 or More Hand Surgery Cases per Day with One Nurse
125(4)
Donald H. Lalonde
Video Clip 14.1, 14.2, 14.3
15 Integrating Hand Therapists into WALANT
129(6)
Amanda Higgins
Lisa Flewelling
Susan Kean
Donald H. Lalonde
Video Clips 15.1, 15.2, 15.3, 15.4, 15.5, 15.6
16 Minor Procedure Room Setup
135(10)
Donald H. Lalonde
Geoffrey Cook
Video Clips 16.1, 16.2, 16.3
SECTION III DETAILS OF HOW TO DO WALANT WITH THERAPY TIPS FOR THE UPPER EXTREMITY
Part A Tendon Surgery: Tendon Decompression
17 Trigger Finger
145(6)
Donald H. Lalonde
Thomas Apard
Video Clips 17.1, 17.2, 17.3, 17.4, 17.5, 17.6, 17.7, 17.8, 17.9
18 De Quervain's Release
151(4)
Donald H. Lalonde
Xavier Gueffier
Alistair Phillips
Video Clip 18.1, 18.2, 18.3
Part B Tendon Surgery: Lacerated Tendons
19 Flexor Tendon Repair of the Finger
155(22)
Jin Bo Tang
Shu Guo Xing
Jason Wong
Amanda Higgins
Lisa Flewelling
Egemen Ayhan
Thomas Apard
Geoffrey Cook
Paul Sibley
Asif Ilyas
Xavier Gueffier
Duncan McGrouther
Ian Maxwell
Amir Adham Ahmad
Donald H. Lalonde
Video Clips 19.1, 19.2a, 19.2b, 19.3a, 19.3b, 19.4a, 19.4b, 19.5, 19.6, 19.7a, 19.7b, 19.7c, 19.8, 19.9, 19.10, 19.11, 19.12, 19.13, 19.14, 9.15, 19.16a, 19.16b, 19.17, 19.18, 19.19, 19.20, 19.21, 19.22, 19.23, 19.24, 19.25, 19.26, 19.27, 19.28, 19.29, 19.TT1, 19.TT2a, 19.TT2b, 19.TT3, 19.TT4, 19.TT5, 19.TT6, 19.TT7, 19.TT8, 19.TT9, 19.TT10, 19.TT11, 19.TT12
20 Flexor Tendon Repair of the Hand, Wrist, and Forearm
177(6)
Donald H. Lalonde
Chao Chen
Julian Escobar
Amir Adham Ahmad
Gokhan Tolga Akbulut
Video Clips 20.1, 20.2, 20.3, 20.4, 20.5, 20.6
21 Extensor Tendon Repair of the Finger (Zone 1 Mallet to Zone 5 MP Joint)
183(14)
Donald H. Lalonde
Egemen Ayhan
Xavier Gueffier
Amanda Higgins
Chris Chun-Yu Chen
Thomas Apard
Paul Sibley
Asif Ilyas
Kamal Rafiqi
Chye Yew Ng
Video Clips 21.1, 21.2, 213, 21.4, 21.5a, 21.5b, 21.5c, 21.6, 21.7, 21.8, 21.9, 21.10, 21.11, 21.12, 21.13, 21.14, 21.15, 21.16, 21.17, 21.18, 21.19, 21.20, 21.21, 21.22, 21.23, 21.24, 21.25, 21.TT1, 21.TT2, 21.TT3, 21.TT4, 21.TT5, 21.TT6, 21.TT7
22 Extensor Tendon Repair of the Hand, Wrist, and Forearm (Zones 6 to 8)
197(6)
Donald H. Lalonde
Amanda Higgins
Geoffrey Cook
Amir Adham Ahmad
Thomas Apard
Gokhan Tolga Akbulut
Julian Escobar
Video Clips 22.1, 22.2, 22.3, 22.4, 22.5, 22.6, 22.7, 22.8, 22.9, 22.10, 22.TT1, 22.TT2
Part C Tendon Surgery: Tenolysis
23 Tenolysis
203(6)
Jason Wong
Michael Sauerbier
Peter C. Amadio
Mark Baratz
Xavier Gueffier
Chao Chen
Donald H. Lalonde
Ian Maxwell
Video Clips 23.1, 23.2, 23.3, 23.4, 23.5, 23.6, 23.7, 23.8, 23.9, 23.10, 23.11, 23.12, 23.13
Part D Tendon Surgery: Tendon Transfers
24 Tendon Transfers
209(8)
Donald H. Lalonde
Egemen Ayhan
Amir Adham Ahmad
Julian Escobar
Xavier Gueffier
Mark Baratz
Robert E. Van Demark Jr.
Jean Paul Brutus
Thomas Apard
Geoffrey Cook
Yin Lu
Paul Sibley
Video Clip 24.1, 24.2, 243, 24.4a, 24.4b, 24.4c, 24.5, 24.6, 24.7, 24.8, 24.9, 24.10a, 24.10b, 24.11, 24.12, 24.13, 24.14, 24.15, 24.16, 24.17, 24.18, 24.19, 24.20, 24.21, 24.22, 24.23, 24.24, 24.25, 24.26, 24.27
Part E Tendon Surgery: Tendon Grafts and Pulley reconstruction
25 Tendon Grafts and Pulley Reconstruction
217(8)
Donald H. Lalonde
Egemen Ayhan
Alison Wong
Chao Chen
Nikolas Alan Jagodzinski
Alistair Phillips
Kamal Rajiqi
Thomas Apard
Ian Maxwell
Video Clips 25.1, 25.2, 253, 25.4, 25.5, 25.6, 25.7, 25.8, 25.9, 25.10, 25.TT1
Part F Nerve Surgery
26 Carpal Tunnel Decompression of the Median Nerve
225(10)
Donald H. Lalonde
Andrew W. Gurman
Xavier Gueffier
Shu Guo Xing
Jin Bo Tang
Amir Adham Ahmad
Thomas Apard
Video Clips 26.1, 26.2, 26.3, 26.4, 26.5, 26.6, 26.7, 26.8, 26.9, 26.10, 26.11, 26.12, 26.13, 26.14, 26.15, 26.16
27 Cubital Tunnel Decompression of the Ulnar Nerve
235(6)
Donald H. Lalonde
Alistair Phillips
Thomas Apard
Amir Adham Ahmad
Video Clips 27.1, 27.2, 27.3, 27.4, 27.5
28 Lacertus Syndrome: Median Nerve Release at the Elbow
241(6)
Elisabet Hagert
Donald H. Lalonde
Egemen Ayhan
Jean Paul Brutus
AmirAdham Ahmad
Daniel McKee
Video Clips 28.1, 28.2, 283, 28.4, 28.5, 28.6, 28.7, 28.8, 28.9, 28.10, 28.11, 28.12, 28.13, 28.14, 28.15
29 Radial and Peroneal Nerve Decompression
247(6)
Elisabet Hagert
Donald H. Lalonde
Video Clips 29.1, 29.2, 293, 29.4, 29.5, 29.6, 29.7, 29.8
30 Simultaneous Release of Carpal Tunnel with Cubital Tunnel or Lacertus
253(4)
Donald H. Lalonde
Video Clips 30.1, 30.2, 303, 30.4, 30.5, 30.6, 30.7, 30.8, 30.9, 30.10
31 Lacerated Nerves
257(4)
Donald H. Lalonde
Steven Koehler
Chao Chen
Julian Escobar
Video Clips 31.1, 31.2, 313, 31.4
Part G Dupuytren, Mass Excision, Flaps, Compartment Syndrome Decompression, and Infection Surgery
32 Dupuytren's Contracture
261(4)
Donald H. Lalonde
Xavier Gueffier
Thomas Apard
Duncan McGrouther
Jason Wong
Kamal Rajiqi
Video Clips 32.1, 32.2, 32.3, 32.4, 32.5, 32.6, 32.7, 32.8, 32.9, 32.10
33 Ganglions and Other Small Soft Tissue Operations
265(6)
Lei Zhu
Donald H. Lalonde
Jason Wong
Shu Guo Xing
Jin Bo Tang
Jean Paul Brutus
Xavier Gueffier
Video Clips 33.1, 33.2, 33.3, 33.4, 33.5, 33.6, 33.7, 33.8, 33.9
34 Flap Harvest and Transfer in the Hand
271(8)
Shu Guo Xing
Jin Bo Tang
Chung-Chen Hsu
Jason Wong
Egemen Ayhan
Xavier Gueffier
Video Clips 34.1, 34.2, 34.3, 34.4, 34.5
35 Infection Surgery, Compartment Syndrome Release, and Tibial Hematoma Drainage
279(6)
Donald H. Lalonde
Gokhan Tolga Akbulut
Video Clips 35.1, 35.2, 35.3, 35.4a, 35.4b, 35.5, 35.6, 35.7, 35.8, 35.9
Part H Joint and Arthritis Surgery: PIP and MP
36 Finger Joint Arthroplasty, Fusion, and Ligament Repair
285(6)
Donald H. Lalonde
Amanda Higgins
Jason Wong
Chye Yew Ng
Xavier Gueffier
Thomas Apard
Asif Ilyas
Video Clips 36.1, 36.2, 36.3, 36.4, 36.5, 36.6, 36.7, 36.8, 36.9, 36.10, 36.11, 36.TT1
37 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair
291(4)
Donald H. Lalonde
Elisabet Hagertjean Paul Brutus
Paul Sibley
AmirAdham Ahmad
Xavier Gueffier
Thomas Apard
Video Clips 37.1, 37.2, 37.3, 37.4, 37.5, 37.6, 37.7, 37.8, 37.9, 37.10, 37.11, 37.12
Part I Joint and Arthritis Surgery: Wrist
38 Trapeziectomy with or without Ligament Reconstruction for Thumb Basal Joint Arthritis
295(6)
Donald H. Lalonde
Julian Escobar
Xavier Gueffier
Thomas Apard
Jean Paul Brutus
Peter C. Amadio
Geoffrey Cook
Video Clips 38.1, 38.2, 38.3, 38.4, 38.5, 38.6, 38.7, 38.8, 38.9, 38.10, 38.11, 38.12, 38.13
39 Wrist Arthroscopy
301(4)
Elisabet Hagert
Celso R. Folberg
Chris Chun-Yu Chen
Donald H. Lalonde
Video Clips 39.1, 39.2, 39.3
40 Wrist Arthritis Surgery
305(4)
Carlos Ramos de Pina
Donald H. Lalonde
Video Clip 40.1a, 40.1b, 40.2, 40.3, 40.4
Part J Upper Limb Bones and Fracture Surgery
41 Finger Fractures
309(8)
Donald H. Lalonde
Lisa Flewelling
Geoffrey Cook
Thomas Apard
Ahsan Akhtar
Chye Yew Ng
Chris Chun-Yu Chen
Xavier Gueffier
Gokhan Tolga Akbulut
Amir Adham Ahmad
Video Clip 41.1, 41.2, 413, 41.4, 41.5, 41.6, 41.7, 41.8, 41.9, 41.10, 41.11, 41.12, 41.13, 41.14, 41.15, 41.16, 41.17, 41.18, 41.19, 41.20, 41.21, 41.22, 41.23, 41.24, 41.25, 41.TT1, 41.TT2, 41.TT3, 41.TT4, 41.TT5, 41.TT6, 41.TT7, 41.TT8
42 Metacarpal Fractures
317(8)
Shu Guo Xing
Susan Keanjin Bo Tang
Xavier Gueffier
Julian Escobar
Paul Sibley
Celso R. Folberg
Thomas Apard
Nikolas Alan Jagodzinski
AmirAdham Ahmad
Donald H. Lalonde
Video Clip 42.1, 42.2, 42.3, 42.4, 42.5, 42.6, 42.7, 42.8, 42.9, 42.10, 42.11, 42.12, 42.13, 42.14, 42.15, 42.16, 42.17, 42.TT1
43 Wrist Fracture and Ligament Injuries
325(4)
Celso R. Folberg
Xavier Gueffier
Carlos Ramos de Pina
Donald H. Lalonde
Nikolas Alan Jagodzinski
Elisabet Hagert
Thomas Apard
Amir Adham Ahmad
Video Clip 43.1, 43.2, 43.3, 43.4, 43.5a, 43.5b, 43.6, 43.7, 43.8, 43.9, 43.10
44 Distal Radius and Forearm Fractures
329(8)
AmirAdham Ahmad
Paul Sibley
Kamal Rajiqi
Chris Chun-Yu Chen
Julian Escobar
Cebo R. Folberg
Steven Koehler
Nikolas Alan Jagodzinski
Xavier Gueffier
Gokhan Tolga Akbulut
Donald H. Lalonde
Video Clip 44.1, 44.2, 44.3, 44.4, 44.5, 44.6, 44.7, 44.8, 44.9, 44.10, 44.11, 44.12, 44.13, 44.14, 44.15, 44.16, 44.17, 44.18, 44.19
45 Surgery around the Elbow
337(8)
Amir Adham Ahmad
Celso R. Folberg
Kamal Rajiqi
Donald H. Lalonde
Video Clip 45.1, 45.2, 45.3, 45.4, 45.5, 45.6, 45.7, 45.8, 45.9
46 Clavicle and Acromion Fractures
345(6)
Amir Adham Ahmad
Chris Chu-Yun Chen
Donald H. Lalonde
Video Clips 46.1, 46.2, 46.3, 46.4
Part K Amputation and Replantation
47 Finger and Ray Amputation
351(6)
Donald H. Lalonde
Egemen Ayhan
Video Clip 47.1, 47.2, 47.3, 47.4
48 Replantation
357(4)
Gokhan Tolga Akbulut
Jason Wong
Xiao Fang Shen
Chung-Chen Hsu
Donald H. Lalonde
Video Clip 48.1, 48.2, 48.3, 48.4, 48.5, 4.6, 48.7, 48.8
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
361(4)
Brian Jurbala
Video Clip 49.1, 49.2, 49.3, 49.4, 49.5, 49.6, 49.7, 49.8, 49.9, 49.10, 49.11
50 Ultrasound-Assisted Upper Extremity Procedures
365(12)
Brian Jurbala
Donald H. Lalonde
Video Clips 50.1, 50.2, 50.3, 50.4, 50.5, 50.6, 50.7, 50.8, 50.9, 50.10, 50.11
SECTION IV WALANT LOWER EXTREMITY SURGERY
51 Patella Fractures
377(4)
Amir Adham Ahmad
Donald H. Lalonde
Video Clip 51.1, 51.2
52 Tibia and Fibula Fractures
381(6)
AmirAdham Ahmad
Kamal Rajiqi
Donald H. Lalonde
Video Clips 52.1, 52.2, 523, 52.4, 52.5
53 Foot and Ankle Fractures and Surgery
387(22)
D. Joshua Mayich
Amir Adham Ahmad
Chris Chun-Yu Chen
Kamal Rajiqi
Luke MacNeill
Egemen Ayhan
Donald H. Lalonde
Video Clips 53.1, 53.2, 53.3, 53.4, 53.5, 53.6, 53.7
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
409(4)
Donald H. Lalonde
Lisa Flewelling
Amanda Higgins
Video Clips 54.1, 54.2, 54.3, 54.4, 54.5, 54.6, 54.7, 54.8, 54.9, 54.10, 54.11, 54.12, 54.13
Index 413