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Wide Awake Hand Surgery and Therapy Tips

Nowość Nowość


Georg Thieme Wydawnictwo

2021, wyd.2

  • Oprawa: miękka foliowana, 360 str.,
  • Wymiary: 177.80 x 254.00 mm,
  • Waga: 0.602 kg.
  • ISBN: 9781684202300
Towar zwykle wysyłamy
w terminie od 7 do 14 dni roboczych
603,70 zł
543,33 zł

The definitive multimedia resource on wide awake hand surgery from renowned experts

WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos.

WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste.

New Features

  • A three times larger video library with more than 500 videos, most of which are new
  • New chapters on upper and lower limb fracture plating of the wrist, forearm, elbow, acromion, clavicle, tibia, fibula, ankle, and foot
  • More than eight hours of video education covering ultrasound hand diagnosis and ultrasoundguided surgery
  • Innovative hand therapy techniques made possible by WALANT detailed under Therapy Tips
  • The use of pencil test and relative motion splinting to resolve numerous hand problems
  • New strategies to implement WALANT in hospitals

This must-have resource will help hand surgeons, hand therapists, and allied nurses prevent unnecessary costs and risks, reduce complications, and improve patient outcomes.

This book includes complimentary access to a digital copy on https:://medone.thieme.com.

  • Section I Atlas of Tumescent Local Anesthesia Elbow, Forearm, Wrist, Hand, and Finger Injections
    1 Finger Blocks and Atlas of Images of Tumescent Local Anesthetic Diffusion Anatomy
    Section II General Principles of Wide Awake Hand Surgery
    2 Advantages of WALANT for Patients, Surgeons, and Anesthesiologists
    3 Safe Epinephrine in the Finger Means No Tourniquet
    4 On Using Tumescent Local Anesthesia
    5 How to Inject Local Anesthetic So It Does Not Hurt
    6 Dealing with Systemic Adverse Reactions to Lidocaine and Epinephrine
    7 Tips on Explaining WALANT to Patients Before Surgery
    8 Teaching Patients and Residents During Surgery Decreases Complications
    9 Tips on Good Local Anesthesia in Infants and Children
    10 Moving Surgery Out of the Main Operating Room with Evidence Based Field Sterility
    11 WALANT and Value in Healthcare:: Improving Outcomes and Lowering Cost
    12 WALANT and “The Why?“:: Administration, Anesthesiology, Nursing, and Payers
    13 Performing Your First Cases With WALANT
    14 How to Schedule Fifteen or More Hand Surgery Cases Per Day with One Nurse
    15 Integrating Hand Therapists into WALANT
    16 Minor Procedure Room Setup
    Section III Details of How to Do WALANT and Therapy for the Upper Extremity
    Part A Tendon Surgery:: Tendon Decompression
    17 Trigger Finger
    18 De Quervain Release
    Part B Tendon Surgery:: Lacerated Tendons
    19 Flexor Tendon Repair of the Finger
    20 Flexor Tendon Repair of the Hand, Wrist, and Forearm
    21 Extensor Tendon Repair of the Finger (Zone 1 Mallet to Zone 5 MP Joint)
    22 Extensor Tendon Repair of the Hand, Wrist and Forearm (Zones 6 to 8)
    Part C Tendon Surgery:: Tenolysis
    23 Tenolysis
    Part D Tendon Surgery:: Tendon Transfers
    24 Tendon Transfers
    Part E Tendon Surgery:: Tendon Grafts and Pulley Reconstruction
    25 Tendon Grafts and Pulley Reconstruction
    Part F Nerve Surgery
    26 Carpal Tunnel Decompression of the Median Nerve
    27 Cubital Tunnel Decompression of the Ulnar Nerve
    28 Lacertus Syndrome:: Median Nerve Release at the Elbow
    29 Radial and Peroneal Nerve Decompression
    30 Simultaneous Release Carpal Tunnel with Cubital Tunnel or Lacertus
    31 Lacerated Nerves
    Part G Dupuytren, Mass Excision, Flaps, Compartment Syndrome Decompression, and Infection Surgery
    32 Dupuytrens Contracture
    33 Ganglions and Other Small Soft Tissue Operations
    34 Flap Harvest and Transfer in the Hand
    35 Infection Surgery, Compartment Syndrome Release, Tibial Hematoma Drainage
    Part H Joint and Arthritis Surgery:: PIP and MP
    36 Finger Joint Arthroplasty, Fusion and Ligament Repair
    37 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair
    Part I Joint and Arthritis Surgery:: Wrist
    38 Trapeziectomy With or Without Ligament Reconstruction for Thumb Basal Joint Arthritis
    39 Wrist Arthroscopy
    40 Wrist Arthritis Surgery
    Part J Upper Limb Bones and Fracture Surgery
    41 Finger Fractures
    42 Metacarpal Fractures
    43 Wrist Fracture and Ligament Surgery
    44 Distal Radius and Forearm Fractures
    45 Surgery about the Elbow
    46 Clavicle and Acromion Fractures
    Part K Amputation and Replantation
    47 Finger and Ray Amputation
    48 Replantation
    Part L Ultrasound Diagnosis and Treatment in Hand Surgery
    49 What You Need to Know about the Basics of Using Ultrasound for WALANT Hand Surgery
    50 Ultrasound Assisted (USA) Upper Extremity Procedures
    Section IV WALANT Lower Extremity Surgery
    51 Patella Fractures
    52 Tibia and Fibula Fractures
    53 Foot and Ankle Fractures and Surgery
    Section V Pencil Test and Relative Motion Splinting to Solve Hand Pain Problems and Improve Range of Motion in Stiff Fingers
    54 Pencil Test and Relative Motion Splinting to Solve Hand Pain and Stiffness After Trauma and Surgery

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