Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Mar 13:20:8-12.
doi: 10.1016/j.isjp.2020.03.001. eCollection 2020.

Use of Wide-Awake Local Anaesthetic No Tourniquet (WALANT) in upper limb and hand surgery: A systematic review protocol

Niamh O'Neill  1   2   3   4   5   6   7   8 , Ali Abdall-Razak  1   2   3   4   5   6   7   8 , Emma Norton  1   2   3   4   5   6   7   8 , Aneeta Kumar  1   2   3   4   5   6   7   8 , Heer Shah  1   2   3   4   5   6   7   8 , Harman Khatkar  1   2   3   4   5   6   7   8 , Zaid Alsafi  1   2   3   4   5   6   7   8 , Riaz Agha  1   2   3   4   5   6   7   8
Affiliations

Use of Wide-Awake Local Anaesthetic No Tourniquet (WALANT) in upper limb and hand surgery: A systematic review protocol

Niamh O'Neill et al. Int J Surg Protoc. .

Abstract

Introduction: Wide Awake Local Anaesthetic No Tourniquet (WALANT) technique has been developed to eliminate tourniquet pain during upper limb and hand surgery whilst also improving utilisation of operating theatre time and inpatient stay, however inconclusive data still limits the techniques uptake. Here presents a protocol for a systematic review to collate findings to produce conclusive data on efficacy of WALANT.

Methods: This systematic review will be registered a priori. All study designs defined by the Oxford Centre for Evidence-Based Medicine will be included in the search. "WALANT" in "upper limb" and "hand" surgery will be investigated as per the devised search strategy. 18 electronic databases will be searched, including PubMed, Medline and Embase in addition to a Grey literature search. Two independent teams of 3 researchers will screen all relevant titles, abstracts and subsequent full texts for suitability. Data will be extrapolated and entered into a preformatted database for analysis.

Ethics and dissemination: This systematic review will be published in a peer-reviewed journal and presented at both national and international conferences within the field of plastic and orthopaedic surgery. This review aims to inform surgical practice and policy.

Keywords: Hand; Limb; Orthopaedic; Plastic; Surgery; WALANT.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
The cumulative total of WALANT papers by year, showing the previous systematic review. Almost half of all papers have not been included in the most recent WALANT systematic review.
See this image and copyright information in PMC

References

    1. Gunasagaran J., Sean E., Shivdas S., Amir S., Ahmad T. Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)/tourniquet. J. Orthopaedic Surgery (Hong Kong) 2017;25(3) - PubMed
    1. Arunakul R., Niempoog S. Clinical experience in forearm tourniquet use. J. Med. Assoc. Thailand Chotmaihet Thangphaet. 2011;94(Suppl):7. - PubMed
    1. Chan V., Peng P., Kaszas Z., Middleton W., Muni R., Anastakis D. A Comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery. Clin. Outcome Cost Anal. Anesthesia Analgesia. 2001;93(5) - PubMed
    1. J. Gunasagaran, E.S. Sean, S. Shivdas, S. Amir, T.S. Ahmad. Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)/tourniquet. https://doiorg/101177/2309499017739499. 2017 - PubMed
    1. Haefeli M., Elfering A. Pain assessment. Eur. Spine J. 2006;15(S1):S17–S24. - PMC - PubMed