Wide-Awake Local Anesthesia No-Tourniquet (WALANT) Procedures

Conditions

• Hand Injuries and Disorders

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Preoperative WALANT Educational Video — BEHAVIORAL
  A standardized preoperative educational video designed to prepare patients for their WALANT surgical experience. The video provides information about preparation for surgery, administration of the local anesthetic injection, the treatment room environment, sensations patients may experience while awake during surgery, options for interacting with or observing the procedure, postoperative recovery, and other expectations surrounding the WALANT experience.
• Traditional Preoperative Counseling — BEHAVIORAL
  Standard preoperative counseling provided by the treating physician as part of routine clinical care for patients undergoing WALANT hand surgery.

Study Details

The goal of this clinical trial is to learn whether a standardized preoperative educational video improves expectation management and the patient experience in adults undergoing Wide-Awake Local Anesthesia No Tourniquet (WALANT) hand surgery. The main questions it aims to answer are: 1. Does watching a preoperative educational video help patients better understand what to expect from their WALANT surgical experience? 2. Does watching the video impact anxiety scores, pain scores, overall satisfaction, and patient-reported functional outcomes? Researchers will compare patients who receive traditional preoperative counseling plus the educational video with patients who receive traditional preoperative counseling alone to determine whether the video improves the patient experience. Participants will: * Complete questionnaires about their expectations, anxiety, pain, hand function, and satisfaction before, during, and after their WALANT procedure. * If assigned to the video group, watch a standardized educational video explaining what to expect before, during, and after WALANT surgery. * Complete their final study questionnaires at their 2-week postoperative follow-up visit.

Key Dates

First listed

Sep 22, 2026

Start date

Oct 31, 2026

Status verified

Sep 2026

Primary completion

Jan 31, 2028

Completion

Jan 31, 2028

Study Design

Enrollment

100 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Arms

• Active Comparator: Traditional Preoperative Counseling
  Participants will receive traditional preoperative counseling for their WALANT procedure as part of routine clinical care and will not receive the standardized preoperative educational video.
• Experimental: Traditional Preoperative Counseling Plus Educational Video
  Participants will receive traditional preoperative counseling as part of routine clinical care and will additionally watch a standardized preoperative educational video describing what to expect before, during, and after their WALANT procedure.

Primary Outcome Measure

Expectation Management Assessed by Adapted MODEMS [ Time Frame: Day of surgery, repeat at 2-week postoperative follow-up visit ]

Central Contacts

• Hayden Fredericks, B.S.
  (727) 439-8086
  [email protected]

Locations (1)

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