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Arch Hand Microsurg > Volume 24(1); 2019 > Article
Archives of Hand and Microsurgery 2019;24(1):10-16.
Published online March 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.1.10   
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. handwoo@hotmail.com
Received: 19 October 2018   • Revised: 26 December 2018   • Accepted: 26 December 2018
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 nongeneral 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.
Key Words: Pediatric trigger thumb, Non-general anesthesia
 
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