Wide awake hand surgery

Wide Awake Hand Surgery
Media Center Information
Title Page
Copyright
Contributors
Preface
Acknowledgments
Contents
PART I ATLAS OF TUMESCENT LOCAL ANESTHESIA WITH FOREARM, WRIST, HAND, AND FINGER INJECTIONS
	1 Atlas of Images of Local Anesthetic Diffusion Anatomy
PART II GENERAL PRINCIPLES OF WIDE AWAKE HAND SURGERY
	2 What Is Wide Awake Hand Surgery?
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	3 Safe Epinephrine in the Finger Means No Tourniquet
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	4 Tumescent Local Anesthesia
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	5 How to Inject Local Anesthetic With Minimal Pain
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	6 Dealing With Systemic Adverse Reactions to Lidocaine and Epinephrine
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	7 Tips on Talking to Your Patients About WALANT
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	8 Talking With Patients During Surgery Saves Time
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	9 WALANT Hand Surgery in Infants and Children
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	10 Field Sterility for Simple Cases Makes Sense
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	11 Revenues Increase and Costs Decrease With WALANT
	12 The “Buy-In”: Administration, Anesthesiology, Nursing, and Payers
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	13 Performing Your First Cases With WALANT
	14 Scheduling Fifteen or More Hand Surgery Cases per Day
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	15 Integrating Hand Therapists Into WALANT
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	16 Minor Procedure Room Setup
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PART III SPECIFIC DETAILS OF HOW TO PERFORM WIDE AWAKE HAND SURGERY FOR COMMON OPERATIONS
	SECTION A AMPUTATION
		17 Finger and Ray Amputation
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	SECTION B NERVE DECOMPRESSION
		18 Carpal Tunnel Decompression of the Median Nerve
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		19 Cubital Tunnel Decompression of the Ulnar Nerve
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		20 Lacertus Syndrome: Median Nerve Release at the Elbow
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	SECTION C TENDON DECOMPRESSION
		21 Trigger Finger
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		22 De Quervain Release
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	SECTION D DUPUYTREN’S CONTRACTURE AND SOFT TISSUE EXCISION
		23 Dupuytren’s Contracture
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		24 Flexor Sheath Ganglion
		25 Small Soft Tissue Operations
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	SECTION E ARTHRITIS SURGERY
		26 Arthroplasty of the Proximal Interphalangeal Joint
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		27 Trapeziectomy With or Without Ligament Reconstruction for Thumb Basal Joint Arthritis
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		28 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair
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		29 Proximal Interphalangeal Joint Fusion
	SECTION F WRIST SURGERY
		30 Wrist Arthroscopy
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		31 Open Triangular Fibrocartilage Complex Repair
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	SECTION G LACERATED TENDONS AND TENOLYSIS
		32 Flexor Tendon Repair of the Finger
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		33 Flexor Tendon Repair of the Hand
		34 Flexor Tendon Repair of the Forearm
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		35 Extensor Tendon Repair of the Finger
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		36 Extensor Tendon Repair of the Hand
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		37 Extensor Tendon Repair of the Forearm
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		38 Tenolysis
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	SECTION H TENDON TRANSFERS
		39 Tendon Transfers
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	SECTION I LACERATED NERVES
		40 Lacerated Nerves
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	SECTION J FRACTURES
		41 Finger Fractures
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		42 Reduction and Internal Fixation of Metacarpal Fractures
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PART IV COMPLEX RECONSTRUCTIONS
	43 Complex Reconstructions in Hand Surgery
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Index