Abstract
Wide awake hand surgery is performed under local anaesthesia with low-dose adrenaline without (the risks of) general anaesthesia, regional anaesthesia, sedation or tourniquets, is applicable to the majority of hand surgery procedures and is especially suited to soft tissue conditions including Dupuytren’s contracture (Bismil et al., World wide awake hand surgery consensus statement. http://www.worldwideawake.net/3.html). Wide awake hand surgery is gaining increasing popularity worldwide because of the opportunities it provides to optimise surgery and rehabilitation [Lalonde, J Hand Ther 26(2):175–178, 2013], streamline the patient pathway [Bismil et al., JRSM Short Rep 3(4):23, 2012], and give patient-centred care with excellent outcomes and patient satisfaction [Bismil et al., JRSM Short Rep 3(4):23, 2012; Teo et al., J Hand Surg Eur Vol 38(9):992–999, 2013].
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