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KMID : 1143020180230010001
Archives of Hand and Microsurgery
2018 Volume.23 No. 1 p.1 ~ p.11
Wide-Awake Hand Surgery
Kang Sang-Woo

Kim Young-Woo
Park Ji-Kang
Abstract
Wide-awake hand surgery is a surgical procedure that does not use a tourniquet and sedation through lidocaine and epinephrine injections and does not perform regional anesthesia or general anesthesia. Therefore, systemic risk by general anesthesia can be avoided, and more accurate surgeries can be performed through active joint motion during surgery without discomfort due to tourniquet used during local anesthesia. Also, the time and cost associated with anesthesia can be reduced and the hospital day can be reduced by performing the day surgery. The authors will introduce the concept of the wide-awake hand surgery and discuss the indications, drug usage, and injection methods.
KEYWORD
Anesthesia, Local, Lidocaine, Epinephrine, Tourniquet
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