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James Cain
Beyond this technique’s clinical benefits, there is avoidance of the cost associated with preoperative anesthesia clearance, surgical supply costs, and avoidance of the costs associated with equipment and staff required for operating rooms. Moreover, patient’s stay in the healthcare facility is reduced and the overall financial burden to the already strained healthcare system is decreased. This led to a paradigm shift in the management of hand and wrist surgery cases which were done in the hand unit of the Department of Orthopaedics and our services adopted rapidly and expanded the use of WALANT. Despite limitations in the sensory examination, subjective numbness or paresthesias can be further explored independently with the use of a paper clip. Providing pictorial depictions of relevant sensory distributions can aid the patient in a subjective comparison of sensory function.