Wide Awake Local Anesthesia No Tourniquet (WALANT) is a surgical technique that allows many hand and wrist procedures to be safely performed in an office setting using local anesthesia without sedation or a tourniquet. Patients remain awake, enabling surgeons to assess movement and function during the procedure while reducing anesthesia-related risks. WALANT improves efficiency, lowers costs, minimizes preoperative requirements, and shortens recovery time, creating a safe, convenient, and patient-centered alternative to traditional operating room surgery.
Program Objectives
Understand the clinical principles and benefits of the WALANT technique.
• Identify appropriate patient selection criteria and procedures suitable for an office-based setting.
• Review safety protocols, infection control measures, and risk mitigation strategies.
• Examine operational workflows, staffing considerations, and supply needs to support in-office surgery.
• Evaluate the financial and patient-experience advantages compared to traditional operating room procedures.
• Promote best practices to ensure high-quality outcomes and patient satisfaction
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Any questions? Please contact your CMSA Chapter directly.