Pain and paraesthesia produced by silicone ring and pneumatic tourniquets

Mohan, Amitabh; Baskaradas, Aroon; Solan, Matthew; Magnussen, P. A.

doi:10.1177/1753193410390845

Cited by 16 publications

(17 citation statements)

References 9 publications

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“…The use of the tourniquet has been advocated to improve visualization in the surgical field, shorten operation time, relieve the suffering of patients, as well as minimize intraoperative blood loss [2-4], which is more safe and efficient. However, the use of the tourniquet is accompanied by many postoperative complications: bandage injuries, cuff pressure injuries, nerve injuries, pulmonary embolism, superficial wound infections [5], neurapraxia [6,7], vessel damage [8], postoperative swelling [9], postoperative pain [10,11], muscle injury [12,13], and even acute thrombosis [14] and shock [5,15]. Therefore, the use of the tourniquet still remains controversial.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Meta-analysis on the efficacy of tourniquet on ankle trauma surgery

Jiang

et al. 2013

Eur J Med Res

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BackgroundIn our study, we used meta-analysis to study the efficacy of the tourniquet on ankle trauma surgery. Postoperative infection rate, deep venous thrombosis incidence, hospital stay, and joint range of motion were studied to compare the tourniquet and non-tourniquet groups and provide certain references for clinical decision.MethodsWe searched PubMed, MEDLINE, EMBASE, and the Cochrane controlled trials register for all publications about the efficacy of tourniquet published before November 2012. The quality of included studies was evaluated by two estimators. I2-test and Q-statistic were used for heterogeneity analysis. When there was heterogeneity between studies, the random effects model analysis was applied or else the fixed effects model analysis was used.ResultsThree studies were included with 166 patients suffering from ankle trauma surgery. There was no statistical difference (P >0.05) between the tourniquet and non-tourniquet groups on operation time (mean difference (MD) −5.45, 95% confidence intervals (CI): (−13.98, 3.09)), postoperative infection rate (relative risk (RR) 1.83, 95% CI: (0.65, 5.12)), and deep venous thrombosis incidence (RR 4.13, 95% CI: (0.47, 36.17)). But statistical significances were observed on hospital stays (MD 3.17, 95% CI: (1.39, 4.95)) and joint range of motion (MD − 5.25, 95% CI: (−9.61, −0.89)).ConclusionsIn general, the efficacy of the tourniquet group is comparable to that of the non-tourniquet group. The non-tourniquet group achieved greater benefits for the joint range of motion and reduced the hospital stay. However, a larger number of primary studies is still required for future evaluation of tourniquet efficacy on ankle trauma surgery.

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Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Meta-analysis on the efficacy of tourniquet on ankle trauma surgery

Jiang

et al. 2013

Eur J Med Res

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“…The first, carried out on 20 healthy volunteers, found no statistically significant difference when placing the tourniquet at the forearm. However the Hemaclear 1 tourniquet caused less pain than the pneumatic tourniquet when placed on the arm [11]. The second showed that the conventional pneumatic tourniquet caused more pain after 5 minutes of application [12].…”

Section: Discussionmentioning

confidence: 98%

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

Hendriks

Facca

et al. 2015

Chirurgie de la Main

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“…A forearm tourniquet was used in our study because, according to previous studies, a forearm tourniquet is tolerated for longer than an upper arm tourniquet [8, 12]. …”

Section: Discussionmentioning

confidence: 99%

“…Two recently reported studies of healthy volunteers showed that the SRT performs similarly to the classic PT in terms of tolerance time [7], and may be more comfortable than the PT when used on the upper arm [8]. …”

Section: Discussionmentioning

confidence: 99%

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Silicone ring tourniquet versus pneumatic cuff tourniquet in carpal tunnel release: a randomized comparative study

Drosos

Ververidis

Stavropoulos³

et al. 2013

J Orthopaed Traumatol

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BackgroundThe aim of the present study was to compare the pain levels resulting from the use of a silicone ring tourniquet (SRT) to those resulting from the use of a classic pneumatic cuff tourniquet (PT) in patients undergoing carpal tunnel release under local anesthesia.Materials and methodsFifty patients that underwent carpal tunnel release under local anesthesia were randomized using the technique of stratified randomization by minimization. A forearm tourniquet was applied: a standard PT was used in 25 patients, and an SRT was used in the other 25 patients (the model of SRT used was selected according to the standard systolic blood pressure). Patient demographics and complications were recorded. Pain levels were assessed with the visual analogue scale and were recorded (a) just after tourniquet application, (b) 5 min after tourniquet application, and (c) just before tourniquet removal.ResultsThere was no statistical significant difference in patient demographics between the two groups. The mean tourniquet time was similar for both groups (p = 1.000). The difference between the mean final pain level and the mean initial pain level was statistically significant for the SRT group (p = 0.010) and highly statistically significant for the PT group (p < 0.001). The mean final pain level for the PT group was higher than that for the SRT group (p = 0.043).ConclusionsAccording to the findings of this study, in patients who underwent carpal tunnel release under local anesthesia, the pain levels at the end of the operation and those just before the removal of the tourniquet were higher in the PT group than in the SRT group of patients.

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Pain and paraesthesia produced by silicone ring and pneumatic tourniquets

Cited by 16 publications

References 9 publications

RETRACTED ARTICLE: Meta-analysis on the efficacy of tourniquet on ankle trauma surgery

RETRACTED ARTICLE: Meta-analysis on the efficacy of tourniquet on ankle trauma surgery

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

Silicone ring tourniquet versus pneumatic cuff tourniquet in carpal tunnel release: a randomized comparative study

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