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Wrist Surgery clinical trials

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NCT ID: NCT05343299 Completed - Anesthesia, Local Clinical Trials

Postoperative Experience of 2 WALANT-type Modes of Anesthesia Used in Ambulatory Surgery of the Upper Limb.

ROPIWA
Start date: May 30, 2022
Phase: Phase 1
Study type: Interventional

Distal surgery of the upper limb under local anesthesia using the WALANT technique (Wide Awake Local Anesthesia No Tourniquet) has become the standard care in orthopedic surgery. The principle is that the operator infiltrates the whole surgical area with a 1% lidocaine solution combined with adrenaline (diluted to 1/200,000) so that all distal surgery of the upper limb can be performed without a tourniquet. Thus, the perioperative course and management of the patient in the operating room and the constraints inherent to general anesthesia are largely reduced. Also, the material cost is considerably reduced. However, WALANT often induces significant pain when the patient leaves the operating room to return home. This effect is related to the pharmacological formulation of lidocaine which has a short half-life (< 3h). To reduce this inconvenience of early block removal, adding a local anesthetic with a longer duration of action (ropivacaine) to lidocaine would extend the duration of the analgesic, improving postoperative experience and satisfaction. The main objective of this research is to evaluate the effect of two WALANT anesthesia protocols (with or without the addition of ropivacaine) on the postoperative experience of patients (QoR-40 questionnaire) 48 hours after outpatient hand surgery.

NCT ID: NCT04306666 Recruiting - Hand Surgery Clinical Trials

Early Rehabilitation After Hand or Wrist Ambulatory Surgery : How to Preserve Locomotion at Home Without Rebound Pain?

WalantBAX
Start date: December 30, 2019
Phase:
Study type: Observational

The purpose of this retrospective study is to compare the analgesic efficacy of Walant " Wide Awake Local Anesthesia No Tourniquet " with lidocaine and bupivacaine versus axillary brachial plexus block using mepivacaïne, both performed by anesthesiologists, after hand or wrist ambulatory surgery. The main objective is to prove that Walant block improve pain relief at home measuring time to first analgesic request. The secondary objectives are to compare maximal pain, consumption of supplementary analgesics, and the duratin of sensory block between groups.

NCT ID: NCT00699244 Completed - Hand Surgery Clinical Trials

Comparison of Central Versus Peripheral Placement of Local Anesthetic

Start date: December 2006
Phase: N/A
Study type: Interventional

Does ultrasound increases the success rate and if there is a difference in success rate between placing the local anesthetic centrally versus peripherally.

NCT ID: NCT00284310 Completed - Wrist Surgery Clinical Trials

Follow-up of Patients After 4-row Arthrodesis or Proximal Row Carpectomy

Start date: October 2005
Phase: N/A
Study type: Interventional

The purpose of this trial is to follow-up on patients who underwent different types of wrist surgery: 4-row arthrodesis or proximal row carpectomy.