Comparison of the Wide-Awake Local Anesthesia with No Tourniquet (WALANT) Technique with Local Anesthesia in Chest Tube Placement Procedures
Özet
Introduction and Purpose: Objective: To compare the wide-awake local anesthesia with no tourniquet (WALANT) technique and the
conventional local anesthesia method using lidocaine for chest tube placement.
Materials and Methods: Study Design: This study was a prospective, single-blind, controlled experimental design. A total of 60 patients
were included. Pain levels were evaluated using the Visual Analog Scale (VAS). Demographic data such as patient age, gender, and the
indication for chest tube placement were gathered. Analyses were guided using IBM SPSS 20 statistical software.
Results and Conclusion: Results: The study included a total of 66 patients. It was observed that male patients undergoing chest tube
placement with lidocaine had reduced VAS scores (p=0.05). Regardless of the anesthesia method used, patients with traumatic
pneumothorax (p=0.01) or malignant effusion (p=0.04) seen statistically significant depletions in VAS scores. Among patients experience
tube thoracostomy with lidocaine, those with empyema trained the greatest reduction in VAS scores.Conclusion: The WALANT
technique, which could be used as a local anesthesia method, did not show significant benefits in reducing pain sense in patients other
than those with traumatic pneumothorax. Therefore, no strong evidence was acquired to support its preference for minor surgical
interventions in the thoracic area.
Atıf için künye
Çalbay, A., Ulaş, A. B., Akgöl Gür, S. T., Çinan, K., Çalbay, M. M., Tunçez, O. E., Bayramoğlu, N., & Kaşali, K. (2025). Comparison of the Wide-Awake Local Anesthesia with No Tourniquet (WALANT) Technique with Local Anesthesia in Chest Tube Placement Procedures. 21st National Emergency Medicine Congress and the 12th International and Intercontinental Emergency Medicine Congress, Antalya (ss. 31–33).
BibTeX
@inproceedings{calbay2025-213665,
author = {Çalbay, Ayça and Ulaş, Ali Bilal and Akgöl Gür, Sultan Tuna and Çinan, Kadir and Çalbay, Murat Maksut and Tunçez, Orhan Enes and Bayramoğlu, Nabi and Kaşali, Kamber},
title = {Comparison of the Wide-Awake Local Anesthesia with No Tourniquet (WALANT) Technique with Local Anesthesia in Chest Tube Placement Procedures},
booktitle = {21st National Emergency Medicine Congress and the 12th International and Intercontinental Emergency Medicine Congress},
address = {Antalya},
year = {2025},
pages = {31--33},
url = {https://akademik.atauni.edu.tr/yayinlar/213665-comparison-of-the-wide-awake-local-anesthesia-with-no-tourniquet-walant}
}