WALANT Technique (Wide Awake Local Anesthesia No Tourniquet) for Carpal Tunnel Release.

injection of 3 to 7 mL of Ropivacaine 3.75 mg/ml per nerve (median and ulnar nerves) and infiltration of 2 ml of Ropivacaine 3.75 mg/ml laterally above the flexion fold of the wrist in order to block the branches of the lateral cutaneous nerve of the forearm, the terminal sensory branch of the musculocutaneous nerve.

infiltration with 3 to 7 ml of 1% lidocaine (10 mg/ml) combined with 0.005 mg/ml epinephrine and 8.4% sodium bicarbonate in the subcutaneous area in front of the transverse ligament, between the thenar and hypothenar eminences, from the flexion fold of the wrist over a length of 5 cm.

inflation pressure 75 to 100 mmHg above systolic blood pressure.

troncular blocks with Ropivacaine 3.75 mg/ml

WALANT technique with 1% lidocaine (10 mg/ml) combined with 0.005 mg/ml epinephrine