WALANT (Wide Awake Local Anesthesia No Tourniquet) is gaining traction, especially post-COVID-19, yet only 17% of US surgical trainees encountered it during training, reflecting a gap in education.
A survey of UK plastic surgery trainees revealed familiarity with the standard WALANT formula but variability in adrenaline concentrations and alternative formulas used in practice.
Analysis of trainee logbooks shows a trend of using less WALANT for common hand surgeries compared to published standards, indicating potential for safely achieving good outcomes with lower doses.