Current Evidence Involving WALANT Surgery.
Katherine M Connors, Sara M Guerra, Steven M Koehler
https://pubmed.ncbi.nlm.nih.gov/36420465Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID05819801
Effect of Fasting on Patient Outcomes After Wide-Awake, Local Anesthesia-only, No Tourniquet (WALANT) Procedures
Led by University of California, Irvine · Updated on 2026-03-12
134
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to determine whether eating solid food before a wide-awake local-only no tourniquet (WALANT) procedure affects patient anxiety and other outcomes. The study compares patients who eat before the procedure to those who fast, evaluating anxiety, nausea, satisfaction, and other measures. Researchers hypothesize that eating before the procedure will reduce anxiety and nausea and improve satisfaction compared to fasting. Participants are randomly assigned to either a fasting group, instructed to avoid food after midnight and liquids 4 hours before surgery, or an eating group, told to consume a light meal within two hours before their procedure. All patients undergo the WALANT procedure with standard preoperative care. Follow-up visits occur at 2 and 6 weeks post-procedure, with additional monitoring for complications up to 6 months. During the study, participants provide demographic information and complete assessments including the Amsterdam Preoperative Anxiety and Information Score, pain and nausea scales, and the QuickDASH questionnaire. Vital signs such as heart rate and blood pressure are collected before and after surgery. Satisfaction is measured at the first postoperative visit. Complications are tracked from medical records without extra procedures after the second visit.
CONDITIONS
Brief Title
Effect of Fasting on Patient Outcomes After Wide-Awake, Local Anesthesia-only, No Tourniquet (WALANT) Procedures
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Patients undergoing wide-awake, local anesthetic-only, no-tourniquet (WALANT) procedures with the lead researcher
You will not qualify if you...
- Patients with insulin-dependent diabetes
- Allergy to local anesthesia
- Under 18 years of age
- Patients unable to follow up
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or phone)
Treatment
Duration - Day of procedure
Participants undergo their assigned fasting or eating protocol before their local anesthesia-only, no tourniquet procedure and then have the procedure performed.
1 visit (in-person, day of surgery)
Post-operative Follow-up
Duration - 6 weeks
Participants are followed at 2 weeks and 6 weeks after their procedure to assess surgical satisfaction and arm function.
2 visits (approximately 2 weeks and 6 weeks post-procedure)
Trial Site Locations
Total: 1 location
1
UCI Health Manchester Pavilion
Orange, California, United States, 92868
Actively Recruiting
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Research Team
M
Michael W Madsen, BA
M
Mikhail Pakvasa, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Prospective Evaluation of Pain and Anxiety Levels Between Wide-Awake Local Anesthesia No Tourniquet and General Anesthesia With Tourniquet in Excision of Wrist Ganglions.
Alvin Teo Shou Wai, Shalimar Abdullah, Amir Adham Ahmad...
https://pubmed.ncbi.nlm.nih.gov/36425368Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release.
McKenzie B Miller, Shelley A Gabel, Lindsay C Gluf-Magar...
https://pubmed.ncbi.nlm.nih.gov/35919690WALANT: A Discussion of Indications, Impact, and Educational Requirements.
Shahab Shahid, Noman Saghir, Reyan Saghir...
https://pubmed.ncbi.nlm.nih.gov/35919552Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration.
https://pubmed.ncbi.nlm.nih.gov/28045707A liberal preoperative fasting regimen improves patient comfort and satisfaction with anesthesia care in day-stay minor surgery.
C Bopp, S Hofer, A Klein...
https://pubmed.ncbi.nlm.nih.gov/19190563