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KMID : 1143020190240010010
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Archives of Hand and Microsurgery
2019 Volume.24 No. 1 p.10 ~ p.16
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Non-General Anesthesia for the Correction of Pediatric Trigger Thumbs
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Yang Tae-Yeong
Lee Tae-Kyung
Choi Jin-Hee
Woo Sang-Hyun
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Abstract
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Purpose: To report the outcome of non-general anesthesia methods for correction of 185 pediatric trigger thumbs.
Methods: The corresponding author performed a total of 185 cases of pediatric trigger thumbs over the last 5 years with either cell-phone assisted local anesthesia or local injection with IV sedation under oxygen mask. The methods of non-general anesthesia, age of operation and operation time, and perioperative complications of both operation and anesthesia were assessed.
Results: Mean operation age was 49.4 months. A total of 104 cases (56.2%) were operated under cell-phone assisted local anesthesia. In 72 cases (38.9%), the operations were performed under local injection with IV sedation. In 9 cases (4.9%), the anesthesia method was changed from cell-phone assisted local anesthesia to local injection with IV sedation due to noncooperation of the babies. Total operation time was 8 minutes and 49 seconds in cell-phone assisted local anesthesia and 7 minutes and 40 seconds in local injection with IV sedation. There were no intraoperative and postoperative complications related with either anesthesia or operation.
Conclusion: Cell-phone assisted local anesthesia and local injection with IV sedation anesthesia under oxygen mask is a very useful method for the operation of pediatric trigger thumbs. It lessens the burden of anesthesia and operation to babies and their parents as well as even operators.
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KEYWORD
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Pediatric trigger thumb, Non-general anesthesia
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