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A-0099 The creation of a Wide Awake Hand Surgery service in an NHS Trust in the UK. Challenges, cost savings and effectiveness
Constantinos Kritiotis, Manchester, UK
Thursday, June 14, 2018 · 8:23 a.m. · 05m 26s
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so good morning my name is courses goodyear this i work in manchester in the u. k. and i'm
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going to tell you how implement the the what we can surgery in our hospital but i work
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so some facts that you need to know um the n. h. s. in the u. k. the national
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cancer this is a free for all wonder why there's such sometimes is over stretched over populated
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so we need to tell me uh be more efficient so we
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need to reduce our hospital stay times increase they case surgery
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you might assume if you had to do like vision and minimum resources
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and why that way can be the answer to all these
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so in order to implement these you need to get your patience involved
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and how to get the patience of our basically you have to tell them but
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they're going to be the starter procedures we're going to have to participate
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yeah it's email come on the table and then and know what to
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do after surgery you need also to mention them but wide
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awake has been proven to be very safe efficient it we used to it it will eat would decrease cost because they
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this is an example this is a wide awake f. c. are too easy transfer that we didn't i
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don't need to tell you why i love whether we can this example you contests that tension
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you can check the strength of your transfer and you can add
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to get the patient of the table about is outcome
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so we did a small question they have to see where we're standing
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um we need some work regarding that objections about the actual procedure was not paying full for the patient
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the patients are afraid of wide awake of the concept of what that way but if
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you ask them after the procedure they would definitely have their procedures whether week again
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so for the n. h. s. means less expenses less inconvenience and less waiting times
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so you need to organise your theatre set up basically this is how what in manchester
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patients alive in the recovery have that injections there with thirty minutes of
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an attack them to theatre and from the ivory coast or call
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so the the t. t. is to plan you uh you prepare your objections to the beginning of the day started with a
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small case that doesn't it a lot of cooking time and then proceed to have next case and take it from there
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you cannot should a significant reduction in turn around pine a decreased time but
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occupancy and basically more efficiently television fit as a day care facilities
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these are the procedures that to uh i routinely perform wide awake or what not routinely some of them about
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needless to say it's great for ten don't put procedures a file and yet under the carpet or oops i do them
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routinely under what awake and the same applies what troubles you have to ms and small joy infusions and ligament repairs
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did we turn something big cautions and to be that colonel decompression some not so well tolerated by some patients
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cost saving wise if you consider that in the n. h. s. the pit class would be paid the
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same amount of pot of money we got lots of bands these yeah method yeah that you use
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you realised that you can save a lot by alleviating the putative checks uh i'm
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and this this piece if you don't have analysis you don't need to pay for an s. t.
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d.'s filter charges can be less because of marks the big it would like they show on
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id mitigation you only use active alex in england cases button why the fluid so giving sets
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uh so the enter just can utilise while and environs ways one we can lose without unless it is
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in case there is no one is the these values can still go ahead and patience
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and feed for ga can combat procedure somewhat awake as don't show that's before somehow
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okay posted on the patient was adamant that he wanted to go
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ahead and so i did wide awake anywhere like it brain
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in my private parties in cyprus where i also what it can save the patient one thousand euros or more
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because we don't think so it's something that it may not have
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clinical benefits but it certainly has very good cos benefits
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because each with the congregations to whether wake obviously are legit locomotives that week
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a patient that will not be compliant and may not work with you on the table because we need the patients to work with you
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a history of epilepsy had a situation where the patience i put the food on the table
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it was no big deal to manage to recover but is not something that you want to face
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patient that afraid of local an aesthetic be careful to listen to your
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patient concerns any that toast pressed for it and you feel
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that they are going to have a panic attack when you have them well it's better if you offer them an alternative
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peripheral vascular disease be careful with your adrenalin could get the patients
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i'm scared to do them wide awake download i know that that's simply the upgrade work when i wake
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it depends on the child depends on us wed so to summarise what we can be easily accepted by the patients
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that is on stupid from procedures are the weather wake up the better outcomes
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inactive in dynamic procedures and the reduction in costs and cancellation penalties
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and i can't help significantly to make the
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in ages more efficient so i think
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what and can be the past the present and the future of con surgery
Conference Program
A-0099 The creation of a Wide Awake Hand Surgery service in an NHS Trust in the UK. Challenges, cost savings and effectiveness
Constantinos Kritiotis, Manchester, UK
June 14, 2018 · 8:23 a.m.
A-0099 Q&A
Constantinos Kritiotis, Manchester, UK
June 14, 2018 · 8:29 a.m.
A-0140 Benefits of the Implantation of a "Wide Awake Surgery" Circuit in Hand Surgery
Ana M. Far-Riera, Hospital Son Llàtzer, Palma De Mallorca, Islas Baleares, Spain
June 14, 2018 · 8:31 a.m.
A-0719 Wide Awake Hand Surgery - Limits and Complications
Kai Megerle, Julia Jakobus, Ursula Kraneburg, Hans-Gunther Machens, Clinic for Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany
June 14, 2018 · 8:36 a.m.
262 views
A-0024 Clinical evaluation of surgical management of hand pathologies under local anesthesia
Juanos Cabanas Jordi, Schuind Frederic, Jennart Harold, Zorman David, CHU Tivoli, La Louvière (Belgium); Erasme Hospital, Brussels (Belgium)
June 14, 2018 · 8:43 a.m.
118 views
A-0043 Scope in Hand Surgery Using Surgeon Administered Local/Regional Anaesthesia (SALoRA)
Sim Wei Ping, Tan Shoun, Vaikunthan Rajaratnam, Khoo Teck Puat Hospital, Singapore
June 14, 2018 · 8:51 a.m.
137 views
A-0853 The advantages of using WALANT anesthesia for hand and wrist fractures- personal experience
Daniel Vilcioiu 1, Dragos Zamfirescu 2, Andrei Ursache 1, Ioan Cristescu 1, 1 Clinical Emergency Hospital of Bucharest, Bucharest, Romania; 2 Zetta Clinic, Bucharest, Romania
June 14, 2018 · 8:58 a.m.
A-0554 Wide awake flexor pollicis longus and digital nerve repairs on patients in the prone position
Thomas Apard 1, Yann Erwan Favennec 1, Gilles Candelier 1, Daniel Mckee 2, Donald H. Lalonde 2, 1 Center of Hand Surgery, Private Hospital of Saint Martin, Caen, France; 2 Plastic Surgery, Dalhousie University, Saint John, New Brunswick, Canada
June 14, 2018 · 9:06 a.m.
A-0075 Correlation between Extension-Block K-wire Insertion Angle and Postoperative Extension Loss in Mallet Finger Fracture
Sang Ki Lee 1, Youn Moo Heo 2, 1 Eulji University College of Medicine, Daejeon, Korea; 2 Konyang University College of Medicine, Daejeon, Korea
June 14, 2018 · 9:13 a.m.
A-0143 WALANT for tendon transfers after neglected peripheral nerve and shoulder plexus injuries
Sergii Strafun, Andrii Lysak, Artur Bezuhlyi, Sergii Tymoshenko, Mykola Oberemok, State institution "Institute of Traumatology and Orthopedics of NAMS of Ukraine", Kyiv, Ukraine
June 14, 2018 · 9:20 a.m.
A-0114 Reconstruction of ulnar dislocation of the extensor tendon at the metacarpophalangeal joint
Masayoshi Ikeda 1,2, Yuka Kobayashi 2, Takehiko Takagi 2, Ikuo Saito 2,3, Takayuki Ishii 2, Daisuke Nakajima 2, Masahiko Watanabe 2, 1 Shonan Central Hospital, Fujisawa, Japan; 2 Tokai University School of Medicine, Isehara, Japan; 3 Isehara Kyodo Hospital, Isehara, Japan
June 14, 2018 · 9:28 a.m.
183 views
A-1022 Lumbrical plus or paradox finger extension syndrome - case report and review of the literature
Andreas Gohritz, Dirk J. Schaefer, Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, University Hospital, Basel, Switzerland
June 14, 2018 · 9:35 a.m.
475 views
A-1025 Saddle deformity: a case report
David Jann, Maurizio Calcagni, Thomas Giesen, University Hospital Zurich, Switzerland
June 14, 2018 · 9:44 a.m.
241 views
