Recommended Practices for the Use of the Pneumatic Tourniquet in the Perioperative Practice Setting

doi:10.1016/j.aorn.2007.09.004

Cited by 61 publications

(34 citation statements)

References 71 publications

(138 reference statements)

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“…A safety margin is added to cover intraoperative fluctuations in arterial pressure. If LOP is <130 mm Hg, the safety margin is 40 mm Hg; for LOP 131–190 mm Hg, the margin is 60 mm Hg; and if LOP is >190 mm Hg, the margin is 80 mm Hg 37. For pediatric patients, adding 50 mm Hg has been recommended 38.…”

Section: Search Strategymentioning

confidence: 99%

Tourniquets in orthopedic surgery

Sharma

Salhotra

2012

IJOO

119

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Tourniquets are commonly used in limb surgeries, be it orthopedic or plastic surgeries. But the inflation pressures, the duration, and release guidelines are still not clear. According to a survey, majority of orthopedic surgeons inflate the tourniquet to fixed pressures for the upper and the lower limbs without considering the baseline blood pressure of the patient on whom the tourniquets are being applied. This review was designed to recall and review the safe use of tourniquets and the various techniques that can be employed to minimize the complications of tourniquet use. Google, science direct, and pubmed were searched for appropriate literature and relevant articles were identified.

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Section: Search Strategymentioning

confidence: 99%

Tourniquets in orthopedic surgery

Sharma

Salhotra

2012

IJOO

119

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“…The tourniquet pressure to be used has been recommended according to the limb occlusion pressure though the empirical pressure of 250 mm of Hg for upper limbs is used extensively. 12 The duration was also just below 2 hrs. Also this, if were the cause should have lead to the neurological deficit distal to the tourniquet.…”

Section: Discussionmentioning

confidence: 97%

<p>Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report</p>

Shrestha

Karki²,

Koirala

et al. 2020

LRA

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Introduction: Brachial plexus blocks are frequently practiced and safe mode of anaesthsia. Although minor complications may occur, major complications are a rarity. However, we report a rare case of prolonged supraclavicular brachial plexus block which required almost 4 months to recover without a perceivable cause. Case Presentation: A 22-year-old gentleman posted for open reduction and internal fixation of both forearm boneswas administered an ultrasound-guided supraclavicular brachial plexus block. The intra-operative period was uneventful. However, the block persisted for a very prolonged period of time. All perceivable causes were ruled out. A total of 19 weeks was required for the entire block to regress with no residual neurological deficits thereafter. Conclusion: Although peripheral neuropathies are known complications of peripheral nerve blocks, such a prolonged brachial plexus block is a rare event. The only plausible cause for the patient's condition could have been the prolonged drug effect; however, it has been rarely documented.

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“…The 2009 Perioperative Standards and Recommended Practices Guidelines[19] states the use of widest cuff possible, based on appropriate tourniquet length with an overlap of 3-6 inches. The ideal pressure to which a tourniquet should be inflated is determined by adding a safety margin to the limb occlusion pressure (LOP) as shown in Table 4.…”

Section: Intraoperative Issuesmentioning

confidence: 99%

Anesthesia for joint replacement surgery: Issues with coexisting diseases

Kakar

Roy

Pant

et al. 2011

J Anaesthesiol Clin Pharmacol

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The first joint replacement surgery was performed in 1919. Since then, joint replacement surgery has undergone tremendous development in terms of surgical technique and anesthetic management. In this era of nuclear family and independent survival, physical mobility is of paramount importance. In recent years, with an increase in life expectancy, advances in geriatric medicine and better insurance coverage, the scenario of joint replacement surgery has changed significantly. Increasing number of young patients are undergoing joint replacement for pathologies like rheumatoid arthritis and ankylosing spondylitis. The diverse pathologies and wide range of patient population brings unique challenges for the anesthesiologist. This article deals with anesthetic issues in joint replacement surgery in patients with comorbidities.

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Recommended Practices for the Use of the Pneumatic Tourniquet in the Perioperative Practice Setting

Cited by 61 publications

References 71 publications

Tourniquets in orthopedic surgery

Tourniquets in orthopedic surgery

<p>Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report</p>

Anesthesia for joint replacement surgery: Issues with coexisting diseases

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