488 cirurgias da m?o com anestesia local com epinefrina, sem torniquete, sem seda??o e sem anestesista

摘要

Objectives Evaluate the incidence of digital infarction and tissue necrosis using local anesthesia with 1% lidocaine and 1:100,000 epinephrine in wrist, hand, and fingers surgeries, without tourniquet, without sedation, and without an anesthesiologist. Methods Patients with wrist, hand, and fingers disorders underwent prospectively surgery under local anesthesia with 1% lidocaine and 1:100,000 epinephrine. We evaluated as primary outcomes were the presence of digital infarction and tissue loss due to necrosis. As secondary outcomes, we evaluated the need for the use of sedatives, tourniquet, anesthesiologist assistance, or surgery suspension were evaluated. Results Fifty‐three wrists, 307 hands, and 128 fingers were anesthetized with lidocaine and epinephrine without any complications related to epinephrine. No patients presented There was no patient that presented with any of the primary or secondary outcomes. Conclusions Wrist, hand, and fingers surgeries can be safely performed with local anesthesia with 1% lidocaine and 1:100,000 epinephrine, without sedation, without tourniquet, and without an anesthesiologist.