Table 2.

Pearls and Pitfalls of the Proposed Technique

Pearls	Pitfalls
Patient selection is critical	Failure to provide adequate preprocedural local anesthesia or adequate time for anesthesia to take effect
At least 10 minutes between portal and intra-articular local anesthetic injection and procedure	Improper placement of trocar, leading to articular cartilage damage
Familiarity of office staff with room setup, instrument turnover, workflow	Poor indications of patients with excessive expectations
Thorough preprocedure discussion with patient in regard to mental readiness and expectations for wide-awake procedures	Inadequate time between local anesthetic and procedure
At least 10 minutes between portal and intra-articular local anesthetic injection and procedure	Poor portal placement given 0° needle scope
5 cc of epinephrine in 1 L of normal saline for hemostasis and visualization