O'Neill Niamh, Abdall-Razak Ali, Norton Emma, Kumar Aneeta, Shah Heer, Khatkar Harman, Alsafi Zaid, Agha Riaz
Bart's and the London School of Medicine and Dentistry, London, UK.
Imperial College School of Medicine, London, UK.
Int J Surg Protoc. 2020 Mar 13;20:8-12. doi: 10.1016/j.isjp.2020.03.001. eCollection 2020.
Wide Awake Local Anaesthetic No Tourniquet (WALANT) technique has been developed to eliminate tourniquet pain during upper limb and hand surgery whilst also improving utilisation of operating theatre time and inpatient stay, however inconclusive data still limits the techniques uptake. Here presents a protocol for a systematic review to collate findings to produce conclusive data on efficacy of WALANT.
This systematic review will be registered a priori. All study designs defined by the Oxford Centre for Evidence-Based Medicine will be included in the search. "WALANT" in "upper limb" and "hand" surgery will be investigated as per the devised search strategy. 18 electronic databases will be searched, including PubMed, Medline and Embase in addition to a Grey literature search. Two independent teams of 3 researchers will screen all relevant titles, abstracts and subsequent full texts for suitability. Data will be extrapolated and entered into a preformatted database for analysis.
This systematic review will be published in a peer-reviewed journal and presented at both national and international conferences within the field of plastic and orthopaedic surgery. This review aims to inform surgical practice and policy.
清醒局部麻醉无止血带（WALANT）技术已被开发出来，用于消除上肢和手部手术中的止血带疼痛，同时提高手术室时间和住院时间的利用率，然而，尚无定论的数据仍然限制了该技术的应用。本文提出了一项系统评价方案，以整理研究结果，得出关于WALANT疗效的确凿数据。
本系统评价将预先注册。牛津循证医学中心定义的所有研究设计都将纳入检索范围。将按照设计好的检索策略，对上肢和手部手术中的“WALANT”进行研究。除灰色文献检索外，还将检索18个电子数据库，包括PubMed、Medline和Embase。由3名研究人员组成的两个独立团队将筛选所有相关标题、摘要及后续全文是否合适。数据将被提取并录入预格式化数据库进行分析。
本系统评价将发表在同行评审期刊上，并在整形和骨外科领域的国内和国际会议上展示。本评价旨在为手术实践和政策提供参考。
