The Effect of Pneumatic Tourniquets on Skeletal Muscle Physiology

Patterson, Steven; Klenerman, L.; Biswas, Meenakshi; Rhodes, Ann Marie

doi:10.3109/17453678108991777

Cited by 62 publications

(21 citation statements)

References 10 publications

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“…Skeletal muscle force production decreases after one to three hours of continuous ischemia with reperfusion (Patterson et al 1981, Gardner et al 1984, Chervu et al 1989. Marked isometric force decrement in rat gastrocnemius muscle (mean 66% of control force) was observed two weeks after a one hour tourniquet (Fish et al 1989).…”

Section: Mechanisms Of Tourniquet-induced Muscle Injurymentioning

confidence: 97%

“…one and a quarter hours (Rorabeck 1980). one and a (Heppenstall et al 1979, Sapega et al 1985, two hours (Wilgis 1971), and three hours (Enger 1977, Klenerman 1980, Klenerman et al 1982, Patterson and Klenerman 1979, Patterson et al 1981, Tountas and Bergman 1977 have been suggested. Reperfusion (ie,, rebreathing) intervals are recommended to extend the duration of tourniquet hemostasis (Bruner 195 1, Bunnell 1956, Wilgis 1971, Chiu et al 1976, Heppenstall et al 1979, Nakahara 1984, Newman 1984, Sapega et al 1985.…”

mentioning

confidence: 99%

“…Relatively little information is available regarding critical pressure and time limits for muscle injury induced by pneumatic tourniquet compression (Patterson and Klenerman 1979, Patterson et al 1981, Gersoff et al 1989.…”

mentioning

confidence: 99%

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Tourniquet-induced neuromuscular injury

Pedowitz

1991

Acta Orthopaedica Scandinavica

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Section: Mechanisms Of Tourniquet-induced Muscle Injurymentioning

confidence: 97%

mentioning

confidence: 99%

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Tourniquet-induced neuromuscular injury

Pedowitz

1991

Acta Orthopaedica Scandinavica

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“…Im Einzelnen handelt es sich bei den beschriebenen Komplikationen um Wundheilungsstörungen [1], höhere Infektraten [1,22], Nervenschäden [3,15,20,33,40,41], Endothelschäden [4,6,9], hö-here Thromboserate [4,22,23,24,25,26,27,28,29], Pulmonalembolien [4,23,24,25,26,27,28,29], Muskelfunktionsstö-rungen [5,15,22,23,24,29,30,34], morphologische Muskelveränderungen [26], bis hin zu Rhabdomyolysen [28,39] und der Entwicklung eines Kompartmentsyndroms [13,21].…”

Section: Introductionunclassified

Manometerdefekte bei Operationen in Blutsperre oder Blutleere

et al. 2002

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The use of a tourniquet causes in 0.013% to 1.15% complications (e.g. delayed wound healing, increased rate of infections, thrombosis, pulmonary embolisms,rhabdomyolysis, and compartment syndromes). The rate of these complications depends on the applied pressure, the duration and the cuff design. Also a technical defect of the pressure gauge can lead to complications. A patient with a peroneal palsy after the use of a tourniquet was referred to the Department for Trauma Surgery of the Medical School of the University of Vienna for medical evidence. As there were no reports in the literature about the occurrence rate of technical defects of tourniquet manometers, we checked all tourniquet pressure gauges used at our clinic. Six from eleven gauges were defect and had to be replaced. To minimize the risk for our patients we recommend to check the calibration of the pressure gauges periodically. With regard to the used pressure rate and duration only different recommendations can be found in literature.

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“…Previously described techniques are more invasive and allow only single day determinations of muscle function. Patterson and associates used an isolated tendon preparation to determine muscle function in the quadriceps and gastrocnemius/ soleus complex of adult cynomolgus monkeys after tourniquet application (18). They determined muscle function at 1, 6, or 7 days after tourniquet application but were limited to a single measurement in each monkey because of the invasive nature of their technique.…”

Section: Peroneal Nerve Stimulationmentioning

confidence: 99%

Long‐term measurement of muscle function in the dog hindlimb using a new apparatus

Hargens

Mortensen

Gershuni

et al. 1983

Journal Orthopaedic Research

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The objective of this study was to develop an apparatus for reliable, reproducible, and minimally invasive measurements of long-term, myoneural function. Twenty conditioned dogs were anesthetized and placed supine with one hindlimb secured in a boot apparatus. The hindpaw was attached to a force transducer that was connected to a recorder for continuous monitoring of torque. Muscles within the anterolateral compartment were stimulated by percutaneous electrodes over the peroneal nerve near the fibular head. This elicited isometric dorsiflexion of the hindpaw. Twitch and tetanic torques correlated positively with dog weight whereas other skeletal-muscle function parameters (time to peak tension, one-half relaxation time, and endurance) were independent of dog weight. Muscle function results were consistent with an overall compartmental composition of 30% Type I and 70% Type II fibers. Repetitive testing of twitch and tetanic torques in the dog legs yielded coefficients of variance of 3-4% (intraday) and 7% (interday). Thus, about one-half of the interday variability may be accounted for by diet, exercise, and other physiological conditions that change daily. The apparatus was also used to detect myoneural degeneration following tourniquet ischemia. The results indicate that this procedure for evaluating muscle function yields reliable and quantitative results noninvasively, and thus allows long-term testing of muscle function in normal and diseased hindlimbs of dogs.

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The Effect of Pneumatic Tourniquets on Skeletal Muscle Physiology

Cited by 62 publications

References 10 publications

Tourniquet-induced neuromuscular injury

Tourniquet-induced neuromuscular injury

Manometerdefekte bei Operationen in Blutsperre oder Blutleere

Long‐term measurement of muscle function in the dog hindlimb using a new apparatus

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