77th ASSH Annual Meeting - Back to Basics: Practice and Education-PRE06: Microvascular Surgery from ALT to SCIP: Technical Pearls (AM22)

Video Transcription

Video Summary

Dr. Wheatley and Dr. Lovell, along with assistant Dr. Pianka, discussed the benefits of local anesthesia for endoscopic carpal tunnel release. They highlighted that local anesthesia is a more effective method than general anesthesia, as it provides better patient cooperation and eliminates the risk of disinhibition. Other benefits include faster OR turnovers, quicker recovery room stays, and the ability to perform the procedure in office settings. The speakers also discussed various techniques for local anesthesia, with each of them using slightly different approaches. Dr. Wheatley uses small needles and lidocaine with epinephrine, while Dr. Lovell uses a higher volume injection and goes distally to the palm. Dr. Pianka injects in multiple areas, both proximal and distal. They all emphasized the importance of achieving a dense nerve block prior to the procedure. The speakers also discussed the use of WAL-ANT anesthesia, which has been found to be effective in a variety of settings, including hospitals, surgery centers, and office settings. Overall, the speakers agreed that local anesthesia is a safe, efficient, and patient-friendly option for endoscopic carpal tunnel release.

Meta Tag

Speaker Bauback Safa, MD, MBA

Speaker Bruno Battiston, MD, PhD

Speaker Dong Chul Lee, MD

Speaker James P. Higgins, MD

Speaker Kyle R. Eberlin, MD

Speaker Rudolf F. Buntic, MD

Speaker Ryan Katz, MD

Speaker William C. Pederson, MD, FACS

Keywords

local anesthesia

endoscopic carpal tunnel release

patient cooperation

risk of disinhibition

OR turnovers

recovery room stays

office settings

techniques

dense nerve block

WAL-ANT anesthesia