A systematic review of the Wide Awake Local Anesthesia No Tourniquet (WALANT) approach in pediatric hand surgery

JPRAS Open 2026 Open access

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Authors: Aidan Shulkin, Daniel E. Borsuk, Emilie Bougie
DOI: 10.1016/j.jpra.2026.01.049
Cited by: 2
References: 46

Abstract

Background and purpose: Wide Awake Local Anesthesia No Tourniquet (WALANT) for hand surgery in children and adolescents remains limited due to concerns regarding patient cooperation. This systematic review aims to synthesize the existing evidence on WALANT in the pediatric population to guide future directives. Methods: This systematic review was performed in accordance with PRISMA guidelines. In June 2025, a comprehensive search of MEDLINE, Embase, Web of Science, and CENTRAL was conducted. All studies reporting on WALANT in patients

Fields of Study & Subjects

Surgical Sutures and Adhesives Pediatric Pain Management Techniques Orthopedic Surgery and Rehabilitation

Publication details

Journal / source
JPRAS Open
Publisher
Elsevier BV
Volume
49
Pages
582–594
Publication date
11 February 2026
Language
EN