Joanie Conrad's research while affiliated with University of Ottawa and other places

Publications (2)

Article
The Wide-Awake Approach to Dupuytren's contracture involves fasciectomy under local anesthetic with epinephrine and no tourniquet. The goal of this study is to show that the Wide-Awake Approach produces equivalent outcomes to fasciectomy under general anesthetic with a tourniquet, with fewer risks to the patient. A multicenter retrospective review...

Citations

... [6][7][8] Avoiding general anesthesia and sedation has many benefits, including no need for certain preoperative investigations, easier immediate postoperative patient recovery with no nausea or vomiting, a shorter hospital stay, and safe management of patients with multiple medical comorbidities such as morbid obesity and diabetes. 9 The WALANT technique has been shown to be highly effective in carpal tunnel release, 10,11 tendon repair, 12,13 Dupuytren's disease, 14 trapeziectomy, 9 tendon transfer, 15 and finger fractures. 16 Anesthesia for distal radius fractures traditionally includes a tourniquet and general or regional anesthesia with intravenous sedation. ...
... Wide awake local anesthetic no tourniquet DD surgery is equivalent to general anesthesia or block anesthesia with a tourniquet. 34,43 Although current general or regional block anesthesia as currently practiced is exceedingly safe, an extensive review of over 153,376 DD operations showed significant risks for LF and DF surgeries using these techniques versus strictly local anesthesia PNF. 36 Serious systemic complications at 90 days after LF and DF included myocardial infarction (0.88%), acute kidney injury (0.09%), and lower respiratory tract infection (0.22%). ...