Sensory changes with prolonged double-cuff tourniquet time in hand surgery

Dreyfuss, Uriel Y.; Smith, Richard J.

doi:10.1016/s0363-5023(88)80137-0

Cited by 12 publications

(8 citation statements)

References 20 publications

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“…Surgical texts recommend cuff pressures of 200–300 mmHg for adults. Various methods have been implemented in an effort to lower effective cuff pressure:[78910111213]…”

Section: Tourniquet Cuff Pressurementioning

confidence: 99%

“…Double tourniquet technique, to change the point of compression[7]Controlled hypotension to bring down systolic blood pressure can also be used to decrease direct cuff pressure against the tissue[8]Doppler technique and pulse oximetry to confirm the absence of the arterial pulse to determine the minimum inflation pressure[9]Tourniquet inflation based on limb occlusion pressure (LOP)[1011]Cuff pressure synchronization with systolic blood pressure. [111213]…”

Section: Tourniquet Cuff Pressurementioning

confidence: 99%

“…Controlled hypotension to bring down systolic blood pressure can also be used to decrease direct cuff pressure against the tissue[8]…”

Section: Tourniquet Cuff Pressurementioning

confidence: 99%

See 2 more Smart Citations

Tourniquet application during anesthesia: “What we need to know?”

Kumar

Railton

Tawfic

2016

J Anaesthesiol Clin Pharmacol

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Tourniquets are routinely and safely used in limb surgeries throughout the world. Tourniquet application alters normal physiology. Healthy patients tolerate these physiological changes well, but the physiological changes may not be well-tolerated by patients with poor cardiac function. This review discusses the physiological changes associated with tourniquet use, safe practice and provides the latest updates regarding tourniquet use. A systematic literature search of PubMed, MEDLINE, ScienceDirect, and Google Scholar was done. The search results were limited to the randomized controlled trials and systemic reviews. The papers are summarized in this review.

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“…Surgical texts recommend cuff pressures of 200–300 mmHg for adults. Various methods have been implemented in an effort to lower effective cuff pressure:[78910111213]…”

Section: Tourniquet Cuff Pressurementioning

confidence: 99%

Section: Tourniquet Cuff Pressurementioning

confidence: 99%

See 1 more Smart Citation

Tourniquet application during anesthesia: “What we need to know?”

Kumar

Railton

Tawfic

2016

J Anaesthesiol Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…Reactive hyperemia and arterial vasodilatation follow brief periods of tissue ischemia (Romanus 1977, Larsson and Lewis 1978, Santavirta et al 1978, Kennedy et al 1981, Klenerman et al 1982, Barie and Mullins 1988, Authier 1988. Tissue edema follows reperfusion after thirty minutes to four hours of skeletal muscle ischemia (Paletta et al 1960, Miller et al 1979, Klenerman et al 1982, Korthius et al 1985, Silver et al 1986, Suva1 et al 1987, Dreyfuss and Smith 1988, Gidlof 1988, Soussi 1989. Edema formation may interfere with postischemic tissue nutrition (Lundborg 1970, Rydevik and Lundborg 1977.…”

Section: Mechanisms Of Tourniquet-induced Muscle Injurymentioning

confidence: 99%

“…Wider cuffs decrease the minimum necessary inflation pressure compared to the narrower tourniquets (Muirhead and Newman 1987, Moore et al 1987, Crenshaw et al 1988. A double tourniquet technique, with continuous ischemia induced by alternate inflation of adjacent cuffs at hourly intervals, may decrease tourniquet compression injury (Neimkin andSmith 1983, Dreyfuss andSmith 1988). Extremity cooling may decrease metabolic demand during prolonged tourniquet hemostasis (Paletta et al 1960, Bruner 1970, Nakahara 1984, Ikemoto et al 1988.…”

mentioning

confidence: 99%