Question

In: Nursing

What local anesthesia and pain management is given to a 32-years-old man with compound fractured hand?

What local anesthesia and pain management is given to a 32-years-old man with compound fractured hand?

Solutions

Expert Solution

WALANT - Wide awake local anaesthesia no tourniquet techniques

WALANT are used currently for hand surgeries in which patient is wide awake and in this technique tourniquet is not used which is relieve for patient as didn't have to bear pain from tourniquet as it is unpleasant and unnecessary.Two medications as local anesthesia can be given in WALANT And can easily replace tourniquet use are epinephrine and lidocaine .

So in this cade WALANT can be used with local anaesthesia of epinephrine or lidocaine

PAIN MANAGEMENT -

Assessment of level of pain by pain scale

Immobilise the part immediately to reduce pain from bony fragments ( compound fracture or open fracture)by splint

Elevate the part to reduce edema of hand but don't place pillow under hand

Hot or cold compress given to reduce pain

Provide medications analgesics such as acetaminophen or ibuprofen and in combined to reduce pain in patients

PLEASE UPVOTE IF YOU FIND IT SATISFACTORY.COMMENT IF ANY DOUBT


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