Document Detail


Intra-operative pneumatic tourniquet--perceptions of use and complications in the orthopaedic community of South Africa.
MedLine Citation:
PMID:  8955736     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess views on use, maintenance and side-effects of the pneumatic tourniquet in the South African orthopaedic community.
METHODS: A census-type questionnaire study was conducted of all 475 orthopaedic surgeons registered with the Orthopaedic Association of South Africa during 1993/94. The chi-square test was used to determine statistical significance between different groups of respondents.
RESULTS: Seventy-seven per cent of the questionnaires were returned. Ninety-nine per cent of respondents used a pneumatic tourniquet. Eighty-four per cent believed that the tourniquet may damage underlying tissue both as a result of applied pressure effects and ischaemic consequences. Fifty-four per cent of respondents personally checked the calibration of the pneumatic tourniquet, although 76% of respondents believe that the apparatus needs to be checked at least once per month. More respondents who did not check the tourniquet apparatus than respondents who did check it believe that applied pressure does not cause tissue damage (P < 0.001), that the operating room technician or hospital engineer should be responsible for checking equipment (P < 0.001), and that equipment did not need to be checked more than once every 6 months (P < 0.001).
CONCLUSIONS: Although most orthopaedic surgeons are aware of the pneumatic tourniquet's side-effects, a minority appear to be unaware of the hazards of excessive applied pressure alone or excessive applied pressure caused by use of faulty equipment. It needs to be emphasised to these surgeons that regular checking of the pneumatic tourniquet apparatus is necessary in order to prevent postoperative complications ascribed to use of the tourniquet.
Authors:
A St Clair Gibson; M I Lambert; J Milligan; W van der Merwe; J Walters; T D Noakes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  86     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-03-11     Completed Date:  1997-03-11     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  1281-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Bandages*
Equipment Failure
Extremities / blood supply,  surgery
Humans
Intraoperative Care*
Orthopedics*
Pressure / adverse effects
Questionnaires
South Africa
Time Factors
Tourniquets* / adverse effects,  utilization

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


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