KMID : 1143020210260010001
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Archives of Hand and Microsurgery 2021 Volume.26 No. 1 p.1 ~ p.11
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Wide-Awake Hand surgery
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Kim Young-Woo
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Abstract
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Wide-awake surgery is a surgical procedure which is not used a tourniquet and any sedation by using the function of lidocaine and epinephrine through the tumescent injection technique. The biggest advantages of wide-awake surgery are the prevention of the systemic risk of general anesthesia and the surgeon can confirm the result of surgery by moving the patient¡¯s joint and tendon during the operation. But some modification of wide-awake surgery may be beneficial for the surgeon and patient. For decreasing the patient anxiety, low-grade sedative can be used and short-time use of tourniquet during initial dissection of the operating site can prevent the unexpected complication.
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KEYWORD
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Awake, Anesthesia, Tourniquet, Lidocaine, Epinephrine
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