Evaluation of a new tourniquet for hand surgery: Comparison of 76 carpal tunnel syndrome cases operated using a Hemaclear® Model-F tourniquet versus a pneumatic tourniquet

Pereira, A.; Hendriks, S.; Facca, S.; Bodin, F.; Gay, A.; Liverneaux, Philippe

doi:10.1016/j.main.2015.01.005

Cited by 10 publications

(4 citation statements)

References 14 publications

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“…Few papers have been published about disposable tourniquet. Pereira et al 14 in a retrospective comparative study reported no clinically significant advantage. However, Drosos et al, 15 in a prospective randomized study, observed a significant decrease in local pain, suggesting less soft tissue damage.…”

Section: Discussionmentioning

confidence: 91%

Comparison of local pain and tissue reaction between conventional pneumatic tourniquet and disposable silicone ring tourniquet during Total Knee Arthroplasty

Londhe¹,

Shah²,

Londhe³

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: To study the comparison of conventional pneumatic and disposable silicone ring tourniquet in Total Knee Arthroplasty. Material and methods: This is a prospective randomized control trial. We used conventional pneumatic tourniquet on one side of leg and disposable silicone ring tourniquet on the other side in consecutive 50 simultaneous bilateral TKR patients. Patients having peripheral vascular disease of the lower limb were excluded from the study. The patient demographics & characteristics are identical being the same patient with two different legs. We started the study with null hypothesis. An independent observer assessed the local tourniquet site pain (VAS score 1e10) and local tourniquet site skin reaction at 24 h and 48 h after the TKA. P value < 0.05 was considered significant. Results: There were no local skin complication with disposable tourniquet (0%). 8 out of 50 patients in whom the conventional tourniquet was applied showed local bruising, and two patients had blister formation making the local skin site complication rate 20% (statistically significant, p value0.0196, chisquared test). The VAS score at 24 h was 4.3 ± 1.5 for disposable tourniquet group as against 5.6 ± 2.1 for conventional tourniquet group (statistically significant, p value ¼ 0.0152, t statistic test for comparison of means). The VAS score at 48 h was 2.1 ± 1.5 and 3.3 ± 1.2 for disposable tourniquet group and conventional tourniquet group respectively (statistically significant p value ¼ 0.003, student's t-test). Conclusion: Use of disposable tourniquet has better outcome than the conventional tourniquet with minimal or no local complications. The advantages of the disposable tourniquet are: 1 less local pain, 2. no local skin problems, 3. accurate tourniquet pressure at the application site, 4.0% local contamination. Hence, we recommend use of the disposable tourniquet during the Total Knee Arthroplasty.

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Section: Discussionmentioning

confidence: 91%

Comparison of local pain and tissue reaction between conventional pneumatic tourniquet and disposable silicone ring tourniquet during Total Knee Arthroplasty

Londhe¹,

Shah²,

Londhe³

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…Several studies reported that SET was superior in exsanguination and could provide a bloodless surgical field more effective than the pneumatic tourniquet [ 5 , 11 , 12 ]. Brin et al [ 13 ] study revealed that SET is more effective in minimizing postoperative hemoglobin reduction for total knee arthroplasty than a pneumatic tourniquet.…”

Section: Discussionmentioning

confidence: 99%

Perioperative blood loss reduction using a sterile exsanguination tourniquet for orthopedic femoral-related surgeries in children: a randomized controlled study

Rattanathanya,

Adulkasem,

Wongcharoenwatana

et al. 2023

J Orthop Surg Res

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Objectives The sterile exsanguination tourniquet (SET) could be an alternative for providing bloodless surgeries in orthopedic femoral-related surgeries in pediatric patients where the standard pneumatic tourniquet would not be feasible. This randomized-controlled study aimed to evaluate the efficacy of SET in decreasing total perioperative blood loss and blood transfusion. Methods We conducted an unplanned interim analysis of data from a randomized-controlled trial. At the time of the analysis, 31 pediatric patients had been randomly assigned to undergo surgery with the SET application (the SET group, 15 patients) and without the SET application (the control group, 16 patients). An intention-to-treat analysis was performed to evaluate the total perioperative blood loss, postoperative blood transfusion, estimated intraoperative blood loss, total drainage volume, postoperative hemoglobin level, and operative time according to the significance level adjusted for multiplicity (p < 0.029). Results There was a borderline statistically significant lower body weight-adjusted TBL in the SET group (SET = 14.1 (7.7, 16.9) ml/kg vs. control 18.3 (14.8, 37.2) ml/kg, p-value = 0.027). The body weight-adjusted transfusion volume was statistically significantly greater in the control group (SET = 0.0 (0.0, 0.0) ml/kg vs. control = 2.1 (0.0, 9.7) ml/kg, p = 0.017). Body weight-adjusted estimated intraoperative blood loss was significantly lower in the SET group (SET = 0.8 (0.2, 3.5) ml/kg vs. control = 5.6 (3.4, 21.5) ml/kg, p < 0.001). In addition, the operative time was lower in the SET group with borderline statistical significance (SET = 105 (85.0, 125.0) vs. control = 130 (101.3, 167.5), p = 0.039). Conclusion Utilization of a sterile exsanguination tourniquet (SET) significantly reduced an estimated intraoperative blood loss while preventing the need for blood transfusion after pediatric orthopedic femoral-related surgeries. Trial registration TCTR20220412003.

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“…23 See Table 2 for a comparison of methodologic and reporting quality of economic evaluations across various specialties. 1–81…”

Section: Discussionmentioning

confidence: 99%

Methodologic and Reporting Quality of Economic Evaluations in Hand and Wrist Surgery: A Systematic Review

Uhlman

Miroshnychenko

Duku

et al. 2022

Plastic &Amp; Reconstructive Surgery

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New hand interventions constantly arise and often have greater reported effectiveness yet higher cost. 1 Economic evaluations can be used by hand surgeons, as they provide a decision-making framework on the effects of alternative interventions on health outcomes and costs. 2 Types of economic evaluations include the following: cost-utility analysis, cost-effectiveness analysis, cost-benefit analysis, and cost analysis 3 (Table 1). For a surgical technique to be deemed "cost-effective," both effectiveness and costs must be integrated into a single measure [e.g., incremental cost-utility ratio (in cost-utility analysis),

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Evaluation of a new tourniquet for hand surgery: Comparison of 76 carpal tunnel syndrome cases operated using a Hemaclear® Model-F tourniquet versus a pneumatic tourniquet

Cited by 10 publications

References 14 publications

Comparison of local pain and tissue reaction between conventional pneumatic tourniquet and disposable silicone ring tourniquet during Total Knee Arthroplasty

Comparison of local pain and tissue reaction between conventional pneumatic tourniquet and disposable silicone ring tourniquet during Total Knee Arthroplasty

Perioperative blood loss reduction using a sterile exsanguination tourniquet for orthopedic femoral-related surgeries in children: a randomized controlled study

Methodologic and Reporting Quality of Economic Evaluations in Hand and Wrist Surgery: A Systematic Review

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