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Arch Hand Microsurg. 2019 Mar;24(1):10-16. Korean. Original Article. https://doi.org/10.12790/ahm.2019.24.1.10
Yang TY , Lee TK , Choi JH , Woo SH .
W Institute for Hand and Reconstructive Microsurgery, W General Hospital, Daegu, Korea. handwoo@hotmail.com
Abstract

Purpose

To report the outcome of non-general anesthesia methods for correction of 185 pediatric trigger thumbs.

Methods

The corresponding author performed a total of 185 cases of pediatric trigger thumbs over the last 5 years with either cell-phone assisted local anesthesia or local injection with IV sedation under oxygen mask. The methods of non-general anesthesia, age of operation and operation time, and perioperative complications of both operation and anesthesia were assessed.

Results

Mean operation age was 49.4 months. A total of 104 cases (56.2%) were operated under cell-phone assisted local anesthesia. In 72 cases (38.9%), the operations were performed under local injection with IV sedation. In 9 cases (4.9%), the anesthesia method was changed from cell-phone assisted local anesthesia to local injection with IV sedation due to noncooperation of the babies. Total operation time was 8 minutes and 49 seconds in cell-phone assisted local anesthesia and 7 minutes and 40 seconds in local injection with IV sedation. There were no intraoperative and postoperative complications related with either anesthesia or operation.

Conclusion

Cell-phone assisted local anesthesia and local injection with IV sedation anesthesia under oxygen mask is a very useful method for the operation of pediatric trigger thumbs. It lessens the burden of anesthesia and operation to babies and their parents as well as even operators.

Copyright © 2019. Korean Association of Medical Journal Editors.