000			03068nam a22003257a 4500
001			CUHAS/MMED/6000438/T/20
003			CUHAS/MMED/6000438/T/20
005			20241024130604.0
008			240613b |||||||| |||| 00| 0 eng d
027			_qWurzburg Road 35, Premises, Post Code: 33102 |
028			_b P. O. Box 1464 Mwanza, Tanzania |
028			_b Phone: (255) 28-298-3384 |
028			_b Fax: (255) 28-298-3386 |
028			_bEmail: vc@bugando.ac.tz |
028			_b Website: www.bugando.ac.tz |
040			_cDDC
041			_aEnglish
041			_aKiswahili
100			_dCUHAS/MMED/6000438/T/20 _qAlly R Mohammed
245			_aIndications and Early Outcomes of "Wide awake Local Anaesthesia no Tourniquet" (WALANT) Among Patient Undergoing Surgical procedures at Bugando Medical Centre, Mwanza, Tanzania.
260			_aMwanza, Tanzania | _bCatholic University of Health and Allied Sciences [CUHAS-Bugando] | _c2023.
300			_aPages xii; 74
300			_aIncludes References
520			_aAbstract: Background: The “Wide Awake Local Anaesthesia No Tourniquet” (WALANT) technique is gaining popularity in plastic, orthopedic, and general surgery due to its benefits. This study aims to determine indications and early outcomes of WALANT among surgical patients at Bugando Medical Centre. As improving overall surgical management at Bugando Medical Centre. Methods: This was a prospective longitudinal study to determine indication and early outcomes of WALANT among patients undergoing surgical procedures at Bugando Medical Centre from April to July 2023. This study involved 91 patients aged from 12 years and above undergoing plastic, orthopaedics and general surgical procedures at Bugando Medical Centre. This mean age of 41 years who underwent surgical procedures our setting. Structured questionnaires were used to obtain operative information, VAS was used to obtain intra operative pain score. Result: The most common indication for using WALANT was surgeon’s preference (65/91, 70%). The most common procedure done was sloughectomy (16/91, 17.6%) and the least common procedure was colostomy (1/91, 1.1%). Intraoperative VAS score range from 0 to 4 with a mean 1.1 (±0.39). Of the participants (88/91, 97%) had no any complication post-operative. The most common postoperative complication was tachycardia (2/91, 2.2%). The level of satisfaction was associated with length of hospital stay by chi-square with a p-value of 0.00. Conclusion: The WALANT technique can be performed as best alternative type of Anaesthesia for both minor and major surgeries with minimum pain score, high client satisfaction rate, minimum risk of infection and significant low hospital stay.
600			_x General Surgery
700			_qVihar Rajendra Kotecha
700			_qFrancis Tegete
856			_z A Dissertation to Be Submitted in Partial Fulfilment of The Requirement for The Award of Degree of Master of Medicine in Surgery at Catholic University of Health and Allied Science.
942			_2ddc _cMP _n0
999			_c28111 _d28111