Bedside Procedures in Hand Surgery

J Hand Surg Am. 2018 Dec;43(12):1144.e1-1144.e6. doi: 10.1016/j.jhsa.2018.03.031. Epub 2018 May 22.

Abstract

Many conditions presenting to the hand surgeon are amenable to a bedside procedure rather than a formal operating room setting. With proper patient, room, and surgeon preparation, bedside procedures can provide an efficient and effective treatment for infection, trauma, and foreign bodies. Key differences from the operating room environment include patient expectations, analgesia, room setup, instrumentation, and surgical technique. This article provides a detailed primer for performing bedside procedures in the emergency department, outpatient clinic, and inpatient hospital room.

Keywords: Bedside procedures; local anesthetic; minor procedures; office surgery.

Publication types

  • Review

MeSH terms

  • Abscess / surgery
  • Ambulatory Surgical Procedures*
  • Anesthetics, Local / administration & dosage
  • Contraindications, Procedure
  • Decompression, Surgical
  • Equipment and Supplies, Hospital
  • Foreign Bodies / diagnostic imaging
  • Foreign Bodies / surgery
  • Hemostasis, Surgical / methods
  • Humans
  • Nerve Block
  • Orthopedic Procedures*
  • Patient Positioning
  • Patient Selection
  • Tourniquets

Substances

  • Anesthetics, Local