Document Detail


How safe is tourniquet use in sickle-cell disease?
MedLine Citation:
PMID:  9110048     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nineteen patients with sickle-cell haemoglobinopathy (HbSS-14; HbSC-5) aged five years to twenty-three years who had twenty orthopaedic operations performed under tourniquet at the Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife between June 1987 and May 1991 were studied. The incidence of complications in these patients were compared with a control group of patients with HbAA who had similar operations under tourniquet and were matched for age and sex. There were seven patients with complications in the sickle cell anaemia group and three in the control group. Only three complications in the study group were significant. These were bone pains, severe post-operative pain and jaundice. Another complication was tissue oedema. The incidence of complications was significantly higher in the sickle cell patients than the normal group (P < 0.01). There were no mortalities. All complications resolved within two weeks of non-invasive management.
Authors:
L M Oginni; M B Rufai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  African journal of medicine and medical sciences     Volume:  25     ISSN:  0309-3913     ISO Abbreviation:  Afr J Med Med Sci     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1997-05-08     Completed Date:  1997-05-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801013     Medline TA:  Afr J Med Med Sci     Country:  NIGERIA    
Other Details:
Languages:  eng     Pagination:  3-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Faculty of Health Sciences, Obafemi Awolowo University, Ile-Ife.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anemia, Sickle Cell / complications*
Case-Control Studies
Child
Child, Preschool
Edema / etiology
Female
Humans
Incidence
Jaundice / etiology
Male
Osteomyelitis / etiology,  surgery*
Pain, Postoperative / etiology
Prospective Studies
Tourniquets / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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