Arch Hand Microsurg 2019; 24(1): 10-16  
Non-General Anesthesia for the Correction of Pediatric Trigger Thumbs
Tae Yeong Yang, Tae Kyung Lee, Jin Hee Choi, Sang Hyun Woo
W Institute for Hand and Reconstructive Microsurgery, W General Hospital, Daegu, Korea
Correspondence to: Sang Hyun Woo
W Institute for Hand and Reconstructive Microsurgery, W General Hospital, 1632 Dalgubeol-daero, Dalseo-gu, Daegu 42642, Korea
TEL: +82-53-550-5000, FAX: +82-53-552-4000, E-mail: handwoo@hotmail.com
Received: October 19, 2018; Revised: December 26, 2018; Accepted: December 26, 2018; Published online: March 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Pediatric trigger thumb, Non-general anesthesia


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