{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T10:21:40Z","timestamp":1785147700014,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,3,17]],"date-time":"2019-03-17T00:00:00Z","timestamp":1552780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Purpose: Carpal tunnel syndrome is a common disease treated operatively. During the operation, the patient may be wide-awake or sedated. The current literature has only compared separate cohorts. We sought to compare patient experience with both local-only anesthesia and sedation. Methods: Staged bilateral carpal tunnel release utilizing open or endoscopic technique was scheduled and followed through to completion of per-protocol analysis in 31 patients. Patients chose initial hand laterality and were randomized regarding initial anesthesia method: local-only or sedation. Data collection via questionnaires began at consent and continued to 6 weeks postoperatively from second procedure. Primary outcome measures included patient satisfaction and patient anesthesia preference. Results: At final follow-up, 6 weeks postoperatively, high satisfaction (30 of 31 patients per method) was reported with both types of anesthesia. Among these patients, 17 (54%) preferred local-only anesthesia, 10 (34%) preferred sedation, 2 had no preference, and 2 opted out of response. Although anesthesia fees were approximately $390 lower with local-only anesthesia, total costs for carpal tunnel release were not significantly different with respect to the anesthesia cohorts. Total time in surgical facility was approximately 26 minutes quicker with local-only anesthesia, largely due to shorter time in the post-anesthesia care unit. Scaled comparison of worst postoperative pain following the 2 procedures revealed no difference between local-only anesthesia and sedation. Conclusions: Patients reported equal satisfaction scores with carpal tunnel release whether performed under local-only anesthesia or with sedation. In addition, local-only anesthesia was indicated as the preference of patients in 59% of cases.<\/jats:p>","DOI":"10.1177\/1558944719836237","type":"journal-article","created":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T02:52:13Z","timestamp":1552877533000},"page":"785-792","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Comparison of Local-Only Anesthesia Versus Sedation in Patients Undergoing Staged Bilateral Carpal Tunnel Release: A Randomized Trial"],"prefix":"10.1177","volume":"15","author":[{"given":"Garrhett G.","family":"Via","sequence":"first","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Esterle","sequence":"additional","affiliation":[{"name":"The Cleveland Clinic Akron General Orthopedic Institute, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham M.","family":"Awan","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonu A.","family":"Jain","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanu S.","family":"Goyal","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, 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