Akademik Veri Yönetim Sistemi
21st National Emergency Medicine Congress and the 12th International and Intercontinental Emergency Medicine Congress, Antalya, Türkiye, 17 - 20 Nisan 2025, ss.31-33, (Tam Metin Bildiri)
Introduction and Purpose: Objective: To compare the wide-awake local anesthesia with no tourniquet (WALANT) technique and the conventional local anesthesia method using lidocaine for chest tube placement. Materials and Methods: Study Design: This study was a prospective, single-blind, controlled experimental design. A total of 60 patients were included. Pain levels were evaluated using the Visual Analog Scale (VAS). Demographic data such as patient age, gender, and the indication for chest tube placement were gathered. Analyses were guided using IBM SPSS 20 statistical software.
Results and Conclusion: Results: The study included a total of 66 patients. It was observed that male patients undergoing chest tube placement with lidocaine had reduced VAS scores (p=0.05). Regardless of the anesthesia method used, patients with traumatic pneumothorax (p=0.01) or malignant effusion (p=0.04) seen statistically significant depletions in VAS scores. Among patients experience tube thoracostomy with lidocaine, those with empyema trained the greatest reduction in VAS scores.Conclusion: The WALANT technique, which could be used as a local anesthesia method, did not show significant benefits in reducing pain sense in patients other than those with traumatic pneumothorax. Therefore, no strong evidence was acquired to support its preference for minor surgical interventions in the thoracic area.