One Stop Wide Awake (OSWA) is a

surgical Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery ...

model which was initially developed for

hand surgery Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity (commonly from the tip of the hand to the shoulder), American Society for Surgery of the Hand. Retriev ...

in the United Kingdom. It is recognized as effective by the

Royal Society of Medicine The Royal Society of Medicine (RSM) is a medical society based at 1 Wimpole Street, London, UK. It is a registered charity, with admission through membership. Its Chief Executive is Michele Acton. History The Royal Society of Medicine (R ...

. The model centres on complete surgical care within one management stop, and with reduced risks due to the avoidance of

general anesthesia General anaesthesia (UK) or general anesthesia (US) is medically induced loss of consciousness that renders a patient unarousable even by painful stimuli. It is achieved through medications, which can be injected or inhaled, often with an analgesi ...

regional anaesthesia Local anesthesia is any technique to induce the absence of sensation in a specific part of the body, generally for the aim of inducing local analgesia, i.e. local insensitivity to pain, although other local senses may be affected as well. It all ...

sedation Sedation is the reduction of irritability or agitation by administration of sedative drugs, generally to facilitate a medical procedure or diagnostic procedure. Examples of drugs which can be used for sedation include isoflurane, diethyl ether, ...

, and

tourniquet A tourniquet is a device that is used to apply pressure to a limb or extremity in order to create ischemia or stopping the flow of blood. It may be used in emergencies, in surgery, or in post-operative rehabilitation. A simple tourniquet can ...

s. This approach to surgery is particularly cost-effective and efficient. It enables complex procedures such as for Dupuytren's contracture to be performed as

outpatient procedure A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other heal ...

s under

local anaesthesia Local anesthesia is any technique to induce the absence of sensation in a specific part of the body, generally for the aim of inducing local analgesia, i.e. local insensitivity to pain, although other local senses may be affected as well. It all ...

. With the changes in UK healthcare commissioning and the evolution from

primary care trust Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May ...

s to

clinical commissioning group Clinical commissioning groups (CCGs) were National Health Service (England), National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace Strategic health authority, strategic health authorities and NHS pr ...

s from 2013, this model of surgery is likely to be increasingly important, and may secure the funding of some

NHS The National Health Service (NHS) is the term for the publicly funded health care, publicly funded healthcare systems of the United Kingdom: the National Health Service (England), NHS Scotland, NHS Wales, and Health and Social Care (Northern ...

surgical services.

References

:* :* {{cite journal, last=Bismil, first=QMK., author2=Bismil, M. , author3=Bismil, A. , author4=Neathey, J. , author5=Gadd, J. , author6=Roberts, S. , author7= Brewster, J. , title=The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review, journal=JRSM Short Reports, date= July 2012, volume=3, issue=7, pages=48, doi=10.1258/shorts.2012.012050, pmc=3422854 , pmid=22908029 Surgical procedures and techniques