About: A Protocol for Wide Awake Local Anaesthetic No Tourniquet (WALANT) hand surgery in the context of the Coronavirus disease 2019 (COVID-19) pandemic

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About: A Protocol for Wide Awake Local Anaesthetic No Tourniquet (WALANT) hand surgery in the context of the Coronavirus disease 2019 (COVID-19) pandemic Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	A Protocol for Wide Awake Local Anaesthetic No Tourniquet (WALANT) hand surgery in the context of the Coronavirus disease 2019 (COVID-19) pandemic
Creator	O'neill, Niamh Hobday, Hobday, Dorian Mr, Dorian Singh Pahal, Gurjinderpal Singh, Gurjinderpal Welman, Ted
source	Elsevier; Medline; PMC
abstract	Abstract There are new and unique challenges to emergency surgery service provision posed by the Coronavirus disease 2019 global pandemic. It is in the best interests of patients for care providers to streamline services where possible to maximise the number of cases that can be performed by limited surgical and anaesthetic teams, as well as minimising patient interactions and admission times to reduce potential spread of the virus. There is evidence that wide awake local anaesthetic no tourniquet (WALANT) hand and upper limb surgery can meet this need in a number of ways, including reduced pre-operative work up, the lack of a need for an anaesthetist or ventilator, shorter inpatient stays and improved cost efficiencies. Though updated national guidelines exist that advocate increased use of WALANT surgery in response to the pandemic there are not yet clear protocols to facilitate this. We outline a protocol being developed at one UK Major Trauma Centre tailored to the expansion of WALANT hand and upper limb emergency surgery with particular emphasis on facilitating timely surgical care while minimising healthcare encounters pre and post-operatively. This will serve to reduce potential transmission of the virus and create cost efficiencies to free funding for COVID-19 related care. Our protocol is easily replicable and may be of benefit to other centres dealing with emergency upper limb surgery in the new climate of COVID-19.
has issue date	2020-06-30(xsd:dateTime)
bibo:doi	10.1016/j.surge.2020.06.015
bibo:pmid	32631702
has license	els-covid
sha1sum (hex)	ef0920b22b93c4cc52687680f02e68c1a0b2a20d
schema:url	https://doi.org/10.1016/j.surge.2020.06.015
resource representing a document's title	A Protocol for Wide Awake Local Anaesthetic No Tourniquet (WALANT) hand surgery in the context of the Coronavirus disease 2019 (COVID-19) pandemic
has PubMed Central identifier	PMC7324324
has PubMed identifier	32631702
schema:publication	Surgeon
resource representing a document's body	covid:ef0920b22b93c4cc52687680f02e68c1a0b2a20d#body_text
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