Do you have to be put under for hand surgery?

In most hospitals, surgery on the hand and wrist is usually performed using regional anesthesia and intravenous sedation, or general anesthesia. Patients must undergo preoperative tests, fast starting the night before, and spend an hour or more in a recovery room.
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Do you have to be put to sleep for hand surgery?

Many hand surgery procedures can now be performed under local anesthesia in the clinic setting, without the need for sedation or general anesthesia, using a technique called WALANT, which stands for wide awake local anesthesia no tourniquet.
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Can you have hand surgery while awake?

Wide-awake hand surgery continues to gain in popularity as a treatment option for a number of common hand conditions. The technique, known as WALANT (wide-awake local anesthesia, no tourniquet), allows us to perform many procedures in a more comfortable manner, without the need for sedation or general anesthesia.
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How long does it take for hand surgery?

Some hand surgery can take as little as 20 minutes, on the other hand some intricate surgery can take much longer – it will depend on what needs to be done. Many of the operations can be performed as day-cases, though this will depend on each individual patient's requirements and the complexity of the case.
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Can I be awake for wrist surgery?

As the name of the technique implies, wide-awake hand surgery doesn't involve sedation or general anesthesia. You remain awake and alert during the procedure, but we do use local anesthesia to keep you comfortable. In most cases, wide-awake surgery involves a combination of lidocaine and epinephrine.
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Anesthesia sedation: What to expect



Is hand surgery high risk?

What are the risks of hand surgery? Most surgery carries the risks of anesthesia and bleeding. Additional risks associated with surgery depend greatly on the type of surgery being performed and may include: Infection.
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What kind of anesthesia is used for hand surgery?

Intravenous regional anesthesia is commonly preferred for routine hand and wrist surgeries because it is well tolerated, safe, reliable, and has a rapid onset. Axillary block anesthesia is a technique which can also provide anesthesia to the whole arm.
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What do you wear for hand surgery?

Wear loose fitting, comfortable clothing so that you can change easily after surgery.
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How do I prepare for hand surgery?

How should I prepare for hand surgery?
  1. Get lab testing or a medical evaluation.
  2. Take certain medications or adjust your current medications.
  3. Stop smoking well in advance of surgery.
  4. Avoid taking aspirin and certain anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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How do you feel after hand surgery?

Pain is normal after hand surgery. Your pain should start to feel a little better every day. We may give you a prescription for your pain. Take the prescription to a pharmacy and follow the directions for taking the medication.
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How do they do a nerve block for hand surgery?

The anesthesiologist inserts a fine needle into the surgery site and injects pain medication in an effort to bathe (but not touch) the nerves. Then, when the surgeon makes the incision, the nerves will be too numb to do their usual work of alerting the brain about the pain, which means you won't feel it.
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What surgeries can you be awake for?

Let's get familiar with some of the most common surgeries in which a patient remains awake.
  • Cesarean section. One of the most routine of these surgeries is the cesarean section — more commonly referred to as a c-section. ...
  • Cosmetic surgery. ...
  • Arthroscopy. ...
  • Brain surgery.
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How long does local anesthesia last in hand?

It usually lasts for approximately 4 - 6 hours. During this period take care not to injure the area which has been numbed as you may not feel any damage. The local anaesthetic may also have contained adrenaline. Adrenaline makes the surrounding blood vessels smaller.
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Why is general anesthesia used for hand surgery?

Some benefits of this type of anesthesia include less need for pain medicine after surgery. It has also been linked to faster recovery and less nausea. For some surgeries, regional anesthesia is linked to less blood loss and lower risk of blood clots.
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Do you go under anesthesia for carpal tunnel surgery?

Undergoing carpal tunnel surgery always requires anesthesia. In fact, carpal tunnel surgery anesthesia comes in two basic forms; local/regional and general. With local/regional anesthesia you're awake during the entire operation.
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Is anesthesia injection painful?

The injection shouldn't be painful and usually takes about 30 minutes to become fully effective. When peripheral nerve blocks and epidural or spinal anaesthetics are used in place of general anaesthetics, they're often combined with sedation to make you feel drowsy and more relaxed.
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How long does pain last after hand surgery?

Sure, some minor aches and pains can resolve themselves with home treatment and support. But they shouldn't last for three or four weeks. Delaying treatment can result in more extensive damage. If you have weakness or numbness, you should also give us a call.
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How do you sleep after hand surgery?

The best way to do this comfortably is to lie flat on your back with your hand resting on a few pillows. Elevate your hand for at least three days after surgery.
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What is the fastest way to recover from hand surgery?

Rest and Elevation Are Crucial

We'll ask you to keep your hand and wrist elevated above your heart to reduce swelling and pain. The more often it is elevated in the days after surgery, the faster you will heal. Pillows stacked on your bed, couch or recliner will do the trick.
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Can I drive after hand surgery?

Is It Safe to Drive after Hand Surgery? No. After hand, wrist, or elbow surgery, it's important for patients to keep the operated part of the body stabilized and immobile.
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What are the most common hand surgeries?

7 Most Common Types of Hand Surgery
  • Carpal Tunnel. If you are experiencing the sensation of pins and needles and numbness in your fingers, carpal tunnel may be to blame. ...
  • Trigger Finger. ...
  • Ganglion. ...
  • Dupuytren's Surgery and Injection. ...
  • Tendon Injury. ...
  • Thumb Arthritis. ...
  • Fracture.
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What if I have my period during surgery?

What if I have my period while I'm in the hospital? Don't worry – It's okay if you have your period the day of your surgery or while you are in the hospital! This will not cause your surgery to be cancelled. Most likely you won't be allowed to wear a tampon while in surgery.
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Can you stay awake during anesthesia?

The goal of general anesthesia is to put you into a form of reversible coma. You shouldn't be able to feel pain or have any awareness of what's going on. However, in some rare instances, people can become “aware” during general anesthesia, even if they aren't exactly awake.
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Are you awake during local anesthesia?

It is used for procedures such as performing a skin biopsy or breast biopsy, repairing a broken bone, or stitching a deep cut. You will be awake and alert, and you may feel some pressure, but you won't feel pain in the area being treated.
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Do they put you to sleep for trigger finger surgery?

and you will be given medication in the operating room by the anesthesia team to make you sleepy. Generally they do not put you completely asleep, but rather you will drift off to sleep and can be completely unaware of the surgery, if you want.
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