Abstract
Surgeons across all subspecialties had to adapt to the COVID-19 pandemic to triage patients and steward hospital resources. Hand surgeons found themselves in a unique position to move some hospital-based procedures to a clinic-based setting, which has now impacted their post-pandemic practices. Performing procedures in the clinic using the wide-awake local anesthesia no tourniquet technique is interestingly similar to minor-surgeries traditionally carried out in a general surgery clinic. By abstracting institutional case volumes from orthopedic, hand, and general surgery departments from 2019 to 2022, we identified trends that further support the potential for clinic-based procedures in hand surgery. This communication provides a foundation to compare cost and surgical indications for wide-awake local anesthesia across surgical disciplines.
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