ABSTRACT
Aim of the study The aim of the study was to confirm the effectiveness and safety of wide awake local anesthesia no tourniquet (WALANT) technique in hand surgery, as well as its necessity and importance during the COVID-19 pandemics. Material and methods A retrospective study was performed between March 2020 and September 2021 to evaluate advantages of WALANT, taking into consideration the rules imposed by the pandemic context. This study included 360 patients, treated for acute and chronic hand diseases. A statistical investigation was performed using SPSS 20.0 version software and applying the ANOVA regression, evaluating demographic, anatomical and surgical variables. Results: 234 males and 126 females, treated for acute hand trauma (metacarpal and phalanx fractures, tendon and nerves lesions) and chronic hand diseases such as carpal tunnel syndrome (CTS) dupuytren's disease (DD), trigger finger (TF), soft tissue and bone tumors. The average patient waiting time from admission in the operating room was 13.95 minutes, while the mean time of onset of local anesthesia was 12.15 minutes. No complications such as distal digital bleeding, hematoma, the necessity of using the antidote, or necrosis occurred, the outcomes were very good and the patient satisfaction high. Conclusions: The WALANT technique can be considered the "gold standard" in hand surgery anesthesia during the COVID-19 pandemic, ensuring a correct and safe surgical treatment in the restrictive conditions imposed by the epidemiological context.
ABSTRACT
Latest WHO reports estimate global mortality from Covid-19 infection at 3.4%. Pregnancy is a physiological condition that predisposes a woman to respiratory complications in viral infections. Due to physiological changes in the immune systems, pregnant women are more prone to severe forms of viral respiratory infections. Also, the hormonal changes that occurred during pregnancy have certain clinical manifestations in the form of gingival swellings, gingival bleeding, as well as favorable conditions for poor hygiene. Thus, the study aimed to evaluate the quality of life of pregnant women in terms of changes in the oral cavity. The study included 30 subjects - pregnant women in the first semester who were given a questionnaire consisting of 19 questions with general data, marital status, income, data on general and emotional health The data were recorded in the SPSS 26 for Windows program, establishing a statistical significance threshold of p <= 0.05. The subjects felt the attention of doctors in the sense of encouragement and prompt response to telephone requests. However, 60% (18) had feelings of fear for them, feelings of fear and depression although had full support from spouse/family. The feelings were probably all the more exaggerated as all the subjects came in contact with patients infected with SARS Cov2, thus contacting the disease. In conclusion quality of life and oral health in pregnant women infected with sars-cov-2 was influenced