Pneumatic tourniquets in extremity surgery.
Wakai, A Winter, D C Street, J T Redmond, P H
Wakai, A
Winter, D C
Street, J T
Redmond, P H
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Date
2012-02-03T15:11:20Z
Date Submitted
Keywords
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Subject Mesh
Emergencies
Extremities/*surgery
*Hemostasis, Surgical/adverse effects/instrumentation/methods
Humans
*Orthopedic Procedures
Reperfusion Injury/etiology
*Tourniquets/adverse effects
Extremities/*surgery
*Hemostasis, Surgical/adverse effects/instrumentation/methods
Humans
*Orthopedic Procedures
Reperfusion Injury/etiology
*Tourniquets/adverse effects
Planned Date
Start Date
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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
ISSN
1067-151X (Print)
1067-151X (Linking)
1067-151X (Linking)
eISSN
ISBN
DOI
PMID
11575914