Use of the WALANT Anesthesia Technique for Forefoot Surgery. — WALANT  

Orthopedic Disorder Clinical Trial

Official title: Use of the WALANT Anesthesia Technique for Forefoot Surgery.

Status Completed

Clinical Trial Summary

To compare the perioperative pain level with WALANT anesthesia versus general anesthesia during forefoot surgery.

Clinical Trial Description

Orthopaedic foot and ankle surgery is typically performed while the patient is under general or regional anesthesia. The Wide Awake Local Anesthesia No Tourniquet (WALANT) technique is a local anesthesia technique used since 1980s in Canada for hand surgery. WALANT uses a combination of a local anesthetic and vasoconstrictor to induce anesthesia and hemostasis in the area of the surgical procedure in order to allow surgeries to be done without the use of tourniquet. This practice eliminates the need for the tourniquet due to the hemostatic effect of the vasoconstrictor. The administration of the local anesthetic is done as close as possible to the surgical site, which allows the mobility of the joint to be maintained, while having complete anesthesia. The retention of mobility and the absence of a tourniquet improve patient comfort.

The main objective of this prospective study is to evaluate the perioperative pain level with WALANT anesthesia compared to general anesthesia during forefoot surgery. ;

Related Conditions & MeSH terms

• Musculoskeletal Diseases
• Orthopedic Disorder

• NCT number: NCT04858048
• Study type: Observational
• Source: GCS Ramsay Santé pour l'Enseignement et la Recherche
• Status: Completed
• Start date: January 15, 2021
• Completion date: April 18, 2023