Pneumatic tourniquets in extremity surgery.

Hdl Handle:
http://hdl.handle.net/10147/209065
Title:
Pneumatic tourniquets in extremity surgery.
Authors:
Wakai, A; Winter, D C; Street, J T; Redmond, P H
Affiliation:
Department of Academic Surgery, Cork University Hospital, Cork, Ireland.
Citation:
J Am Acad Orthop Surg. 2001 Sep-Oct;9(5):345-51.
Journal:
The Journal of the American Academy of Orthopaedic Surgeons
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209065
PubMed ID:
11575914
Abstract:
Pneumatic tourniquets maintain a relatively bloodless field during extremity surgery, minimize blood loss, aid identification of vital structures, and expedite the procedure. However, they may induce an ischemia-reperfusion injury with potentially harmful local and systemic consequences. Modern pneumatic tourniquets are designed with mechanisms to regulate and maintain pressure. Routine maintenance helps ensure that these systems are working properly. The complications of tourniquet use include postoperative swelling, delay of recovery of muscle power, compression neurapraxia, wound hematoma with the potential for infection, vascular injury, tissue necrosis, and compartment syndrome. Systemic complications can also occur. The incidence of complications can be minimized by use of wider tourniquets, careful preoperative patient evaluation, and adherence to accepted principles of tourniquet use.
Language:
eng
MeSH:
Emergencies; Extremities/*surgery; *Hemostasis, Surgical/adverse effects/instrumentation/methods; Humans; *Orthopedic Procedures; Reperfusion Injury/etiology; *Tourniquets/adverse effects
ISSN:
1067-151X (Print); 1067-151X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorWakai, Aen_GB
dc.contributor.authorWinter, D Cen_GB
dc.contributor.authorStreet, J Ten_GB
dc.contributor.authorRedmond, P Hen_GB
dc.date.accessioned2012-02-03T15:11:20Z-
dc.date.available2012-02-03T15:11:20Z-
dc.date.issued2012-02-03T15:11:20Z-
dc.identifier.citationJ Am Acad Orthop Surg. 2001 Sep-Oct;9(5):345-51.en_GB
dc.identifier.issn1067-151X (Print)en_GB
dc.identifier.issn1067-151X (Linking)en_GB
dc.identifier.pmid11575914en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209065-
dc.description.abstractPneumatic tourniquets maintain a relatively bloodless field during extremity surgery, minimize blood loss, aid identification of vital structures, and expedite the procedure. However, they may induce an ischemia-reperfusion injury with potentially harmful local and systemic consequences. Modern pneumatic tourniquets are designed with mechanisms to regulate and maintain pressure. Routine maintenance helps ensure that these systems are working properly. The complications of tourniquet use include postoperative swelling, delay of recovery of muscle power, compression neurapraxia, wound hematoma with the potential for infection, vascular injury, tissue necrosis, and compartment syndrome. Systemic complications can also occur. The incidence of complications can be minimized by use of wider tourniquets, careful preoperative patient evaluation, and adherence to accepted principles of tourniquet use.en_GB
dc.language.isoengen_GB
dc.subject.meshEmergenciesen_GB
dc.subject.meshExtremities/*surgeryen_GB
dc.subject.mesh*Hemostasis, Surgical/adverse effects/instrumentation/methodsen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Orthopedic Proceduresen_GB
dc.subject.meshReperfusion Injury/etiologyen_GB
dc.subject.mesh*Tourniquets/adverse effectsen_GB
dc.titlePneumatic tourniquets in extremity surgery.en_GB
dc.contributor.departmentDepartment of Academic Surgery, Cork University Hospital, Cork, Ireland.en_GB
dc.identifier.journalThe Journal of the American Academy of Orthopaedic Surgeonsen_GB
dc.description.provinceMunster-

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