Cost analysis of carpal tunnel release with local anesthesia vs sedation. A survey of the Argentinian Association of Hand Surgery

• DOI: 10.1016/j.jham.2025.100215
• Publication Date: 2025-01-06T17:21:04Z
• Authors: Facundo Delgado; Francisco Príncipe; Verónica Andrea A...; Mariano Oscar Abrego; Fernando Holc; Pedro Bronenberg ...; Jorge Guillermo B...; Ignacio Rellan
• Keywords: Hand surgery

To compare the costs of carpal tunnel release (CTR) performed in a minor procedure room using wide awake local anesthesia no tourniquet (WALANT), with (AL-T) and CTR conventional operating (OR) sedation. Additionally, we aimed to assess anesthetic preferences Argentine Association Hand Upper Limb Reconstructive Surgery (AACM) members regarding CTR. This cross-sectional, single-center study involved analyzing specific hospital associated each technique both surgical settings. A report was obtained from OR chief our institution. an anonymous survey conducted among certified main AACM members, gathering data on: (1) practice location, (2) preferred type for reasons not WALANT/AL-T regularly, (3) years practice, (4) technique, (5) willingness change preference if offered differential fees. Performing WALANT AL-T resulted cost savings 64 % 65 %, respectively, compared sedation OR. The average duration CTR, including cleaning turnover time, 34 min (±3) WALANT, 33 (±4) AL-T, 55 (±8) room.Out 226 95 (42 %) responded survey. Among them, 42 practiced Buenos Aires (CABA), only 35 (16 19 AL-T). Nearly half (49 had over 16 experience. All respondents favored open or mini-approach techniques Those who did use cited discomfort patient interaction perceived lack benefits as reasons. However, 31 indicated they would their reduces by Despite benefits, remains predominant Argentina, hindered consensus institutional incentives.