The literature supports the routine use of a tourniquet during total knee arthroplasty (TKA). With tourniquet use, there is decreased intraoperative blood loss with subsequent improved visibility and a bloodless surgical field. This facilitates efficiency with the potential for decreased operating time. Increased operating time has been associated with an increase in the incidence of infection ...

introduction: pain as a complex process in the cns has been extensively studied by many researchers. it has been found that pain is controlled by certain pathways in the cns, one of most important of which is the descending noradrenergic system. the pathway begins with locus coeruleus (lc) nucleus and ends in the spinal cord. in this study, formalin test was used as a chemical and tonic pain te...

introduction: pain as a complex process in central nervous system (cns) has been studied by many researchers. pain is controlled by several cns pathways, one of the most important of which, is the descending noradrenergic system. this system begins from locus coeruleus (lc) nucleus in pons and ends in the spinal cord. in this research, the effect of pain induced by formalin was studied. methods...

context a tourniquet is a device that is used frequently in most orthopaedic surgeries but this routine device can lead to serious complications so we decided to review and declare it for safe instruction and use. evidence acquisition we searched the word “tourniquet” in pubmed and google and reviewed all full text english articles and abstracts of non-english articles. in addition, we read all...

PURPOSE: Carpal tunnel syndrome is a common cause of upper extremity discomfort. Surgical release of the median nerve can be performed under general or local anesthetic, with or without a tourniquet. Wide-awake carpal tunnel release (CTR) (local anesthesia, no sedation) is gaining popularity. Tourniquet discomfort is a reported downside. This study reviews outcomes in wide-awake CTR and compare...

OBJECTIVE The purpose of this study focused on a number of factors that have been implicated in calcaneal complications and find the incidence of wound complications. METHODS This was a retrospective study. A total of 162 patients (176 feet) who underwent calcaneal fractures between 2007 and 2012 were included. The patient's personal details, age, time from injury to surgery, cause of injury,...

BACKGROUND Air tourniquet-induced skeletal muscle injury increases the concentrations of some cytokines such as interleukin-6 (IL-6) in plasma. However, the effect of an air tourniquet on the IL-6 concentrations after total knee arthroplasty (TKA) is unclear. We therefore investigated the impact of tourniquet-induced ischemia and reperfusion injury in TKA using the IL-6 level as an index. MET...

PURPOSE To evaluate the effect of nitroglycerine (NTG) on sensory and motor block onset and recovery time as well as the quality of tourniquet pain relief, when added to lidocaine (LID) for intravenous regional anesthesia in elective forearm and hand surgery. METHODS A randomized double-blinded clinical trial was performed on 40 patients that were randomly allocated into two groups received l...