The present correspondence presents the author's experience with adherence to the wide awake local anesthesia no tourniquet (WALANT) technique for hand surgery as has been recommended in the pandemic. The authors plan to hold on to the use of daycare hand surgery under WALANT in our practice as a long-lasting modification as we emerge in the post-COVID following the vaccination drive.
Indian Orthopaedic Assocation. https://www.ioaindia.org/.
Hobday D, Welman T, O'Neill N, et al. A protocol for wide awake local anaesthetic no tourniquet (WALANT) hand surgery in the context of the coronavirus disease 2019 (COVID-19) pandemic. The Surgeon 2020;18(6):e67–e71. DOI: 10.1016/j.surge.2020. 06.015.
BSSH, COVID-19 resources for members. https://www.bssh.ac.uk/about/news/163/covid19_resources_for_members.
Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. https://www.boa.ac.uk/uploads/assets/ee39d8a8-9457-4533-9774e973c835246d/4e3170c2-d85f-4162-a32500f54b1e3b1f/COVID-19-BOASTs-Combined-FINAL.pdf.
Lalonde DH. Latest advances in wide awake hand surgery. Hand Clin 2019;35(1):1–6. DOI: 10.1016/j.hcl.2018.08.002.
Codding JL, Bhat SB, Ilyas AM. An economic analysis of MAC versus WALANT: a trigger finger release surgery case study. Hand 2017;12(4):348–351. DOI: 10.1177/1558944716669693.
Wang K, Wang Q, Chen Z. A case of hand surgeon infection of COVID-19 due to exposure to treating a suspect patient. Chinese J Hand Surg 2020;36. DOI: 10.3760/cma.j.cn311653-20200304-00096.
Ducournau F, Arianni M, Awwad S, et al. COVID-19: initial experience of an international group of hand surgeons. Hand Surg Rehabilitat 2020;39(3):159–166. DOI: 10.1016/j.hansur.2020.04.001.
Picardo NE, Walker H, Vanat Q, et al. Service reconfiguration in the department of hand surgery during the UK COVID-19 lockdown: Birmingham experience. Postgrad Med J 2021. DOI: 10.1136/postgradmedj-2020-139280postgradmedj-2020-139280.
Venkatesan A, Iyengar K, Loh WYC. Strategies in reconfiguration of hand injuries management during COVID-19 pandemic. J Clin Orthop Trauma 2020;11(4):697–699. DOI: 10.1016/j.jcot.2020. 05.020.