BACKGROUND AND PURPOSE Tourniquet application is still a common practice in total knee arthroplasty (TKA) surgery despite being associated with several adverse effects. We evaluated the effects of tourniquet use on functional and clinical outcome and on knee range of motion (ROM). PATIENTS AND METHODS 70 patients who underwent TKA were randomized into a tourniquet group (n = 35) and a non-tou...

Introduction: Ischemic-reperfusion nerve injury has been suggested as the mechanism for post-tourniquet limb paralysis. Dexamethasone (Dex) has been known to prevent ischemic-reperfusion side effects in some tissues, we here evaluated its possible preventing effect on tourniquet induced nerve injury. Methods: 36 male Wistar rats (200-250 g) were divided randomly into 6 equal groups named as Sha...

Objective Tourniquet use in total knee replacement (TKR) is believed to improve the bone-cement interface by reducing bleeding, potentially prolonging implant survival. This study aimed compare risk of revision for primary cemented TKR performed with or without a tourniquet. Design We analysed data from National Joint Registry (NJR) all TKRs England and Wales between April 2003 December 2003. K...

BACKGROUND Venous blood sampling is usually performed using a tourniquet to help locate and define peripheral veins to achieve successful and safe venipuncture. Despite widespread usage of tourniquets for venipuncture by medical and laboratory staff, very few are aware of the effects of tourniquet application on laboratory parameters. In addition, definitive guidelines regarding when and how to...

OBJECTIVE The objective of this study was to compare the effect of tourniquet-induced ischemia/reperfusion (I/R) injury on the recovery of muscle function with and without prior hemorrhage. METHODS Male Sprague-Dawley rats (initially 400-450 g) were randomly assigned to 1 of 4 groups (n=8 per group): (1) hemorrhage (33% of estimated blood volume) plus tourniquet +H/+TK; (2) tourniquet alone (...

Corresponding author: Yun Hee Lim, M.D., Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Sanggye 7-dong, Nowongu, Seoul 139-707, Korea. Tel: 82-2-950-1173, Fax: 82-2-950-1323, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), w...

INTRODUCTION Battlefield tourniquet use can be lifesaving, but most reports are from hospitals with knowledge gaps remaining at the forward surgical team (FST). The quality of tourniquet applications in forward settings remain unknown. The purpose of this case series is to describe observations of tourniquet use at an FST in order to improve clinical performance. METHODS War casualties with t...

PURPOSE The purpose of this study was to evaluate the role and efficacy of the tourniquet in lower limb revascularization. METHODS During a 3-year period, 195 patients underwent 205 infrainguinal reconstruction operations in the lower extremity. These patients underwent bypass with a tourniquet and inflow occlusion (group 1) or bypass without a tourniquet (group 2). The type of infrainguinal ...

BackgroundLife-threatening hemorrhage from extremity injuries can be effectively controlled in the prehospital environment through direct pressure, wound packing, and use of tourniquets. Early tourniquet application has been prioritized for rapid control severe is a cornerstone trauma resuscitation guidelines. Emergency physicians must knowledgeable regarding initial assessment appropriate mana...

Hair tourniquet syndrome is a rare yet potentially devastating entity in children. Hair-thread tourniquet syndrome involves fibres of hair or thread wrapped around an appendage (toe, finger, clitoris, penis etc.) producing tissue necrosis. It is frequently missed or misdiagnosed leading to delayed diagnosis resulting in gangrene of toe or finger. Tourniquet syndrome of penis can present with to...