Hand Injuries and DisordersWALANTNCT07832591
Wide-Awake Local Anesthesia No-Tourniquet (WALANT) Procedures
A study testing Preoperative WALANT Educational Video and Traditional Preoperative Counseling in people with Hand Injuries and Disorders, run by Carilion Clinic at 1 site in United States.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hand Injuries and Disorders
- What is being tested?
- Preoperative WALANT Educational Video and Traditional Preoperative Counseling
- Type of treatment
- Injection or infusion, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteUnited States
- Study dates
- Oct 2026to Jan 2028
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adults ≥18 years
- Scheduled for an elective WALANT procedure with a Carilion Clinic hand surgeon
- Able to read and understand English
- Capacity to consent
Who cannot join
- Prior WALANT surgery
- Visual impairment that would prevent the participant from watching the preoperative educational video
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
Carilion Clinic Institute for Orthopaedics and Neurosciences (ION)
Roanoke, Virginia, 24014
Hayden Fredericks, B.S., (727) 439-8086, hafredericks@carilionclinic.org
Natalie Vaughn, M.D.
About this study
Official title: Improving Patient Experience Through Preoperative Video Education: A Study of Video-Based Intervention in Wide-Awake Local Anesthesia No-Tourniquet (WALANT) Procedures
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:
- Does watching a preoperative educational video help patients better understand what to expect from their WALANT surgical experience?
- Does watching the video impact anxiety scores, pain scores, overall satisfaction, and patient-reported functional outcomes?
Read more
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.
Read the detailed description
Wide-Awake Local Anesthesia No Tourniquet (WALANT) allows many hand and wrist procedures to be performed using a local anesthetic injection without the need for general anesthesia. Because patients remain awake throughout the procedure, adequate preoperative education and preparation are important for managing patient expectations and optimizing the overall surgical experience.
This prospective randomized clinical trial will evaluate the effect of a standardized preoperative educational video on the experience of patients undergoing WALANT hand surgery. All participants will receive traditional preoperative counseling as part of their clinical care. Following enrollment, participants will be randomized to either traditional preoperative counseling alone or traditional preoperative counseling plus the standardized educational video.
The educational video provides standardized information about the WALANT experience, including preparation for surgery, administration of the local anesthetic, the treatment room environment, sensations that may occur while awake during surgery, options for interacting with or observing the procedure, and expectations for postoperative recovery. The purpose of the video is to provide patients with a consistent understanding of what they may experience throughout the perioperative period.
Participants will complete study questionnaires at enrollment, on the day of surgery, and at their routine 2-week post-operative follow-up visit. The study will compare the experiences of participants in the two groups to determine whether adding standardized video-based education to traditional counseling improves expectation management and other aspects of the WALANT patient experience.
- Conditions
- Hand Injuries and Disorders
- Being tested
- Preoperative WALANT Educational Video, Traditional Preoperative Counseling
- Keywords
- WALANT, Wide-Awake Local Anesthesia No Tourniquet, Hand Surgery, Patient Education, Preoperative Education, Patient Expectations, Patient Satisfaction
- Medical subject headings
- Hand Injuries, Disease, Patient Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Preoperative WALANT Educational VideoBehavioural
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 CounselingBehavioural
Standard preoperative counseling provided by the treating physician as part of routine clinical care for patients undergoing WALANT hand surgery.
| Study group | Role | What they receive |
|---|---|---|
| Traditional Preoperative Counseling | Active comparator | 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. Receives: Behavioral: Traditional Preoperative Counseling |
| Traditional Preoperative Counseling Plus Educational Video | Experimental | 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. Receives: Behavioral: Preoperative WALANT Educational Video; Behavioral: Traditional Preoperative Counseling |
What is being measured
The primary outcome is the main question the study is designed to answer.
Expectation Management Assessed by Adapted MODEMS
Patient expectation management will be assessed using an adapted version of the Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS). Participants complete preoperative MODEMS domains before surgery and corresponding postoperative domains following their WALANT procedure to assess their expectations and experiences.
Measured: Day of surgery, repeat at 2-week postoperative follow-up visit
Secondary outcomes (4)
Anxiety Assessed by Numeric Rating Scale (NRS-A)
Patient-reported anxiety will be assessed using the NRS-Anxiety at enrollment and at specified perioperative time points on the day of surgery. The rating scale will go from 0 = No anxiety, 1 to 3 = Mild anxiety, 4 to 6 = Moderate anxiety, 7 to 10 = Severe anxiety
Measured: At enrollment phone call, Day of surgery immediately before anesthesia, Day of surgery immediately before first incision
Pain Assessed by Numeric Rating Scale (NRS-Pain)
Patient-reported pain will be assessed following administration of the local anesthetic injection and following the first surgical incision. Rating scale scoring: 0 = No pain, 1 to 3 = Mild pain (nagging, annoying, interferes little with daily activities), 4 to 6 = Moderate pain, 7 to 10 = Severe pain
Measured: Day of surgery
Upper Extremity Function Assessed by QuickDASH
Patient-reported upper extremity function will be assessed using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire.
Measured: From enrollment through 2-week postoperative follow-up
Overall Patient Satisfaction
Overall satisfaction with the WALANT experience will be assessed using a 5-point Likert scale and a binary satisfaction question
Measured: 2-week postoperative follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2026
- Study startOct 2026 (estimated)
- Primary completionJan 2028 (estimated)
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hand Injuries and DisordersStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomized to receive either traditional preoperative counseling alone or traditional preoperative counseling plus a standardized preoperative educational video before undergoing WALANT surgery.
- Masking
- None (open label)
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Carilion Clinic
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Natalie Vaughn, M.D., Principal investigator, Carilion Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07832591
- Sponsor's protocol ID
- IRB-26-2364
- Acronym
- WALANT
- Status last verified
- Sep 2026
- First submitted
- 14 Sep 2026
- Last updated
- 22 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: IPD will not be shared with researchers outside of the study team.