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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
Thursday, June 14, 2018 · 9:06 a.m. · 06m 26s
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genitals or difference uh thank you i would like to introduce
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you uh my yeah there we smalltalk don't worry
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and then with just one vote wait a week for example it's a longer send you don't have
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repairs on passions in princeton from we combine the a million approach and the interest on
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the graffiti and of course c. one and a recipe of done none on that
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of course uh the prone position is forbidden in general nested yeah or actually block but
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obviously it's a no the with a wide awake surgery it's comfortable for the passions
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to watch a movie and uh this is a a james bond movie or it was
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a comfortable for him because it was uh uh he had a lot of stress
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and it was comfortable for the surgeon or you can just see a texan turned on reba
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out too and uh it's easy to ask is a passion to move his so
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of course you can easily control z. a micro surgery a replay of in that for the digit
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don't have this is a unsuited to the tune of the repair and the thompson repair
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and this is a smaller court of passion the free persons with uh uh both uh injuries fix on when i have a
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i mean every prefer to passions on if it's internal two passions and just one question phone expiration
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and there is no problem for lying on the abdomen for the eight patients
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and it was very comfortable to state much more than thirty minutes
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so to chips for you one tapes is to ask a dash and a fair
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uh they are often sleep on the argument on the beach or uh and i hope that on is better
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and the second one is to put a pillow on the shoulder to make his face comfortable
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thank you how
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hi
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okay so tell me about the shoulder then no shoulder problems no shoulder problems or was it the passion who decide
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so you can make it with the uh ninety
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degrees the abduction of thirty degrees it depends
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any other questions on this
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thank you uh remote allusion i like talked a lot older technique
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but i also like my and it's just i i suppose most of us have this
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problem so i take this opportunity to ask doctor known and the the the audience
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do you have any tricky or or tape to convince us
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to just to do this injections because i don't
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i don't actually three but i don't like making injections so you have anything to convince harness to just
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to hell making a a local injections format
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yeah my first thing is to invite your and it's this is to go to a one out sometime
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so you are in the car with the honesty just like in the plane you know with the copilot
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and uh you a talk show in the one sumter with the other and is
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this is the first one is uh to be generation and after that
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when you are in zero bit approaching room you have to invite us disease to
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see look it's comfortable for me it's comfortable for the passions i can
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check if the tandem is okay i can chase easy um uh fingers moving
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is okay so it's cool so there is these are just make it
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um i was fortunate don't can spend some time with us and weston straighter batteries go
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and it is a problem because we have a license it's for them is
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this and oh yes a lot that friends that probably the most
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so all i was laid on spoke wang around and now i will use it
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and the other thing is that i realised that that that they cannot be without a job
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there was another that don't know sample as fast like and what we write and they picked it up and i enjoy it
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really great matches the question is switching actually sent on the market that
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my like a sandal atrocities to what is reasonable and the one i just bought labour around and challenge them
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channels because that would be losing their jobs of that i know that we're getting by after that
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oh
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um i have been using wide awake here in more and more than for my part
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it's um i feel more comfortable giving the egyptians myself because i know when i would
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cut and what i would expect so i don't think but my honesty piece
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sometimes has the capacity to go but however having set that
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i. e. not put my unless he's completely aside
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we want them on board with us because you may need them duty yourself to visit some situations so
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i feel safe when they have them oh um there because i know that we have a
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have a patient that would not tolerate icky might need it conversant with another static
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but um i have found that a a but conversion rate is very very low
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be um you can then do we get bigger procedures wide awake
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with safety as long as the patient we tolerated so
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always involve the patient if you have a page and that is to scare topic don't often wide awake suppose that
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yeah thomas being very modest in his uh centre the and this this you
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all adjusts do a lot of the injections for the patients because they've
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brought them and collegial lead to do that i think in a perfect world
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i see no problem with that is the easy all just incorporating this is part of their armament area
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they could be injecting in one room we could be operating in another room people would get along i
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would be an unnecessary expense but we could get along i think that's what we should do
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okay
Conference Program
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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.
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