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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
Thursday, June 14, 2018 · 8:51 a.m. · 06m 22s
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i remember morning ladies and gentlemen i'm weeping from singapore not be talking about the school in
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hand surgery using sojourn in is that local and regional anaesthesia or sell or for short
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and so it resists often carried out and the local regional anaesthesia why to be organised you there is no twenty k. all well
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and has been gaining on popularity well why i describe my experience
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using solar um we shall i elaborate of for the
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so what does all our it's actually the use of local anaesthesia infiltration when we don't use
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of talk or without the use of adrenalin um but twenty k. uses as required
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no sedation is given it this is one that has been uh use by
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the um previously before the use of uh one has been popular ice
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so the difference between wind and solar um the main difference is that the use of adrenalin in one
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hand and the absence of the insular and the use of twenty case as required um insular
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as kind as you can see the onset of a action for what onto a set of about
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twenty five to thirty minutes and that'll solar i sell in one or two minutes time
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that is a doubt as to whether is truly safe in the use of adrenalin in patients with multiple come abilities
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so what that had been a while you accept that fact is um initially in the in the
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in the cases of a couple to know trigger finger release and equal bins we use
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and the increasing use 'em as described uh in the paper via on that alone or last year
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um solar ah is to the most likely be alright active accept that um um
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factors um in the will and it's to the people and safer option
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so this is a descriptive study is about trust retrospective analyses of
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surgeries um performed people between twelve and thirteen and gotten sixteen
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the single single centre study and all cases were performed possible five but it's
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you know also so delirious other than hand raised forum elbows what's that
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we had a critical incident of will and does in that case of think of a single trigger finger release
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where the use of the remote cooking and then leaned was well below the maximum dosage
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and i said it invention was required um but the study was completed within fifteen minutes just highlights um
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um
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sorry so this was our case our population sixty six percent of
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operations are performed using solar um nice exposing would metro surgeries
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it was our population sixty percent with locals um uh joe um and
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the and the rest will or perform locus mean informal 'cause
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with ah cases will perform in the hand on a single thing that
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under the purdue analysis of the time the thirty to be performed so each
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button all cases so consisted of trigger finger release a soft tissue departments
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soft tissue excision couple to know realise social fixation so that's of tissue repairing reconstruction
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we further subdivided cases um by elective and emergency face lots
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and this is put an analysis of what activities do
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and this is for our emergency feasible
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the for that i'm sorry but in my gender it would majority no dominance if you
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know dominance gene into button release as well as other in the shop these
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sixty percent operations are tolerated 'em twenty k. about the show that the company could do a show two minutes was due to shots that we
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actually as you can see 'em was patients so i but look at all the red twenty get time between twenty twenty five minutes
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so what type of soviet three cases of complex reconstruction thank six
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cases of the surrealistic station performances none of the of doc
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you know the tree cases of a compact reconstruction involving motto forum and resell lacerations
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it's actually highlights um um the importance of our property for assessment
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and you cases actually um suboptimal e. book in the cases um list
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we don't and if that is our coverage enhance uh have we done and uh uh
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uh solar and is also highlights the importance of having a a consultant presents
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i'm such a these cases can be done in a short duration and kind to be done on the yeah and i'm wide awake
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if you cases of us all off a year um two cases will compete at the sedation in one
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case um but bush was i'm not willing to continue with solar and people under general anaesthesia list
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so in conclusion i like spectral conditions can save you performed using solar
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we have to increase productivity and as well as efficiency and you'd like to share resources reseller
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which we bought this you could turn around time in new resource system internal effects
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thank you how
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ah
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any any questions yes
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a few using some more traction or oh sam huh huh well it's not it's
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just a surgeon it means that so let's move on to some guy that
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is just by the surgeon and so what do you think the go introduce
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uh_huh uh_huh use now just and control while it's much we spent action
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so in our sent a um father some gotten the lots are generally performed by and the status
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um but for for intents intents and purposes um we go
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by a landmarks and perform the the local anaesthesia infiltration
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did you see any difference in our thinking less important i think they were yeah
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um we we didn't work on a direct comparison between the one hundred
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minutes already um so we do not have k. uh information
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thank you
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