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. 2012 Jul;46(4):377-83.
doi: 10.4103/0019-5413.98824.

Tourniquets in orthopedic surgery

Jai Prakash Sharma  1 , Rashmi Salhotra
Affiliations

Tourniquets in orthopedic surgery

Jai Prakash Sharma et al. Indian J Orthop. 2012 Jul.

Abstract

Tourniquets are commonly used in limb surgeries, be it orthopedic or plastic surgeries. But the inflation pressures, the duration, and release guidelines are still not clear. According to a survey, majority of orthopedic surgeons inflate the tourniquet to fixed pressures for the upper and the lower limbs without considering the baseline blood pressure of the patient on whom the tourniquets are being applied. This review was designed to recall and review the safe use of tourniquets and the various techniques that can be employed to minimize the complications of tourniquet use. Google, science direct, and pubmed were searched for appropriate literature and relevant articles were identified.

Keywords: Tourniquet; orthopaedic surgery; tourniquet and complications.

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Conflict of interest statement

Conflict of Interest: None.

References

    1. Noordin S, McEwen JA, Kragh JF, Eisen A, Masri BA. Surgical tourniquets in orthopaedics. J Bone Joint Surg Am. 2009;91:2958–67. - PubMed
    1. Lu CW, Chen YS, Wang MJ. Massive pulmonary embolism after application of an Esmarch bandage. Anesth Analg. 2004;98:1187–9. - PubMed
    1. Murphy CG, Winter DC, Bouchier-Hayes DJ. Tourniquet injuries: pathogenesis and modalities for attenuation. Acta Orthop Belg. 2005;71:635–45. - PubMed
    1. Tourniquet – A S-MART concept. Simon Axon. From: http://usmorthopaedic.blogspot.in/2009/06/tourniquet-s-martconcept.html .
    1. Duffy PJ. The arterial tourniquet. Department of Anaesthesia, Ottawa General Hospital. Accessed from: http://www.uam.es/departamentos/medicina/anesnet/gtoa/hm1.html .

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