Arch Hand Microsurg.  2019 Mar;24(1):10-16. 10.12790/ahm.2019.24.1.10.

Non-General Anesthesia for the Correction of Pediatric Trigger Thumbs

• Yang TY
• Lee TK
• Choi JH
• Woo SH

• KMID: 2440606
• DOI: http://doi.org/10.12790/ahm.2019.24.1.10

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.

Keyword

Pediatric trigger thumb; Non-general anesthesia

MeSH Terms

Anesthesia*
Anesthesia, Local
Humans
Masks
Methods
Oxygen
Parents
Postoperative Complications
Trigger Finger Disorder*
Oxygen

Figure

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  Fig. 1 Intraoperatively, the baby is watching the favorite video game or movies with cell phone or tablet personal computer.

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