A prospective study of 100 cases of sterile T–RING™ digital tourniquet application

Wapler, C; Laronde, Pascale; Nedellec, G.; Aumar, Aurélien; Sayah, N.; Fontaine, C.

doi:10.1016/j.hansur.2016.04.001

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…[ 19 ] This result may support the concept that T-Ring is designed as a “one size fits all” device. [ 24 ] In rolled surgical glove, we selected different glove sizes for different volunteers to reflect our clinical situation, and this might explain the similar pressure measurements in digits with different circumferences. Moreover, this result is not consistent with that of Middleton et al, who conducted their experiment in a laboratory setting.…”

Section: Discussionmentioning

confidence: 99%

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Validation of digital tourniquet pressures

Kim

Joo

et al. 2020

Medicine

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Digital tourniquets are widely used for the management of digital injuries in emergency departments or outpatient clinics. This study is focused on the pressure analysis of digital tourniquets on some points not covered in the existing literature. A total of thirty volunteers were enrolled in this study. Instantaneous surface pressure was measured at the thumbs, index fingers, and little fingers. We investigated the pressure according to the circumference of digits, tourniquet types, and measurement sites (dorsal and mid lateral volar sides) above the digital vessels. Continuous pressure was measured in artificial silicone models to determine the change of pressure over 2 hours. The average pressure measured on the mid lateral volar side of volunteers fingers were 154.3 ± 54.9 mm Hg by T-RingTM and 162.6 ± 61.0 mm Hg by surgical glove. The pressure on the dorsal side were 224.7 ± 57.7 mm Hg by T-RingTM and 228.8 ± 66.0 mm Hg by surgical glove, each significantly higher than the mid lateral volar side. The circumference of digits did not significantly affect the surface pressure. The pressure pattern did not change significantly over 2 hours in both tourniquet types. The surface pressure of the mid lateral volar side was significantly lower than that of the dorsal side. However, there was no significant pressure difference according to the circumference of digits. Time dependent pressure change were not significantly different between 2 tourniquets.

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Section: Discussionmentioning

confidence: 99%

“…[ 28 ] Because T-Ring has a distinct red color at its rim, it is difficult to mistakenly leave this device on the patient after the operation. [ 24 ] Moreover, T-Ring has a diameter of 36 mm, which creates a space between the digit of interest and the nearby digits.…”

Section: Discussionmentioning

confidence: 99%

Validation of digital tourniquet pressures

Kim

Joo

et al. 2020

Medicine

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Nail Procedures

Knabel¹,

Jellinek²,

Knackstedt³

2019

Evidence-Based Procedural Dermatology

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Management of hand fractures

2020

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Hand fractures are the most common fractures of the upper extremity, with a reported incidence of 3.7 per 1000 per year for men and 1.3 per 1000 per year for women. Understanding the diagnosis and management of these injuries is vital for any clinician working in the emergency department, plastic or orthopaedic surgery or providing community care. This review identifies the most common presentations and outlines how to assess and manage such fractures appropriately, with an emphasis on clinical and radiographic examination. The majority of hand fractures are managed conservatively and operative management should be carefully considered on a case-by-case basis with analysis of patient and fracture-related factors, in order to achieve optimal hand function following treatment.

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A prospective study of 100 cases of sterile T–RING™ digital tourniquet application

Cited by 3 publications

References 4 publications

Validation of digital tourniquet pressures

Validation of digital tourniquet pressures

Nail Procedures

Management of hand fractures

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