id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
anesthj-74	Varela, DNP, CRNA, Debra S.; Newman, DNAP, CRNA, Johanna; Valdes, DNP, CRNA, Jorge A.	Regional Anesthesia for Bilateral Carpal Tunnel Release	2018	6	.pdf	application/pdf	3906	193	38	A preponderance of available literature supporting the use of a local anesthesia only technique termed “wide awake local anesthesia no tourniquet” (WALANT) has been published by Lalonde et al.10-12,15 Comparison studies conducted by Lalonde’s group evaluating patient satisfaction between nonsedation and sedation techniques showed no significant differences in satisfaction; however, surgical conditions and local anesthesia techniques were not standardized between the groups.15 In the study conducted by Rozanski et al14 to specifically evaluate pain perception on injection and during the procedure between sedation and nonsedation groups, significantly higher pain on injection and during the surgery was reported in the local anesthesia only groups. The words and phrases searched included the following: bilateral carpal tunnel syndrome/release, bilateral versus staged unilateral carpal tunnel release, median nerve block, regional anesthesia for bilateral hand procedures, local anesthesia with epinephrine and hand surgery, buffering of local anesthetics, general anesthesia versus regional anesthesia: cost and safety, anxiety and anesthesia, sedation, and monitored anesthesia care.	cache/anesthj-74.pdf	txt/anesthj-74.txt