The risk of deep-vein thrombosis after operations on a bloodless lower limb. A venographic study

Kroese, Andries J.; Stiris, G

doi:10.1016/s0020-1383(75)80006-4

Cited by 20 publications

(11 citation statements)

References 12 publications

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“…Although the incidence of deep vein thrombosis is 17–54% for a variety of lower limb procedures, the arterial tourniquet has no influence on the formation of a thrombus in a deep vein, and does not increase the incidence of postoperative deep vein thrombosis [23, 24]. As a result of a number of case reports of fatal pulmonary embolism secondary to lower limb exsanguination and tourniquet inflation, which has also been associated with tourniquet deflation [25–27], some authors have suggested that the tourniquet is contraindicated in patients at high risk of deep vein thrombosis.…”

Section: Pathophysiological Effectsmentioning

confidence: 99%

The arterial tourniquet: pathophysiological consequences and anaesthetic implications

2001

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SummaryThe arterial tourniquet is widely used in upper and lower extremity surgery and in intravenous regional anaesthesia. The local and systemic physiological effects and the anaesthetic implications are reviewed. Localised complications result from either tissue compression beneath the cuff or tissue ischaemia distal to the tourniquet. Systemic effects are related to the inflation or deflation of the tourniquet. Safe working guidelines for the application of an arterial tourniquet have not been clearly defined.

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Section: Pathophysiological Effectsmentioning

confidence: 99%

The arterial tourniquet: pathophysiological consequences and anaesthetic implications

2001

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“… 11 Because these reported patients suffered fatal consequences secondary to DVT/PE, the use of lower extremity tourniquet in high risk patients, such as those with lower extremity trauma, prolonged immobilization, or history of venous thromboembolism, may be contraindicated. 12 No reports of UEDVT as a consequence of upper extremity traumatic injury and use of operative tourniquet were found upon review of the literature.…”

Section: Discussionmentioning

confidence: 99%

Upper extremity deep vein thrombosis with tourniquet use

Desai

Dinh

Chung

et al. 2015

International Journal of Surgery Case Reports

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INTRODUCTIONUpper extremity deep vein thrombosis is an increasingly important clinical finding with significant morbidity and mortality. The condition may be under-diagnosed in trauma and surgery settings.PRESENTATION OF CASEWe present a case of upper extremity thrombosis with venous congestive symptoms secondary to the use of an operative tourniquet. A literature review and discussion of the causes of upper extremity deep vein thrombosis and the pathophysiological disturbances seen with tourniquet use are presented.DISCUSSIONUpper extremity deep venous thrombosis is uncommon. In this case the likely cause was operative tourniquet use.CONCLUSIONOperative tourniquet may be a risk factor in upper extremity deep vein thrombosis.

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“…Thus, the prophylactic use of anticoagulants is common. On the other hand, earlier research (Kroese and Stiris, 1975;Angu et al, 1983) suggested that thrombus does not occur in a deep vein as a direct result of tourniquet use. Furthermore, Kam et al (2001) support this view stating the arterial tourniquet has no influence on development of deep vein thrombosis.…”

Section: Thrombosismentioning

confidence: 94%

“…Orthopaedic and trauma nurses require specialist knowledge to competently detect and manage patients at risk of specific complications (Santy et al, 2005). Principle complications reported in the literature are: nerve injury (Middleton and Varian, 1974;Flatt, 1972;Rorabeck and Kennedy, 1980), post tourniquet syndrome (Shah, 2006;McEwen, 2005;Klenerman, 2003), compartment syndrome (Shah, 2006), skin damage and chemical burns (Din and Geddes, 2004) and thrombosis (Kam et al, 2001;Kroese and Stiris, 1975;Angu et al, 1983).…”

Section: Complications and Related Practicementioning

confidence: 99%