Document Detail


Limb exsanguination. I. The arm: effect of angle of elevation and arterial compression.
MedLine Citation:
PMID:  1416703     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Limb exsanguination before tourniquet inflation is usually accomplished using mechanical devices although, where their use is contraindicated, exsanguination by elevation alone may be employed. Advice regarding duration of elevation within the literature is a little confusing with recommendations ranging from 20 s to 5 min. Volume changes, during elevation at 45 degrees and 90 degrees, were measured using strain gauge plethysmography in seven male volunteers. In addition, the superimposed effect of brachial arterial compression on elevation at 90 degrees was investigated. To achieve maximal exsanguination it is recommended that the arm should be elevated for 5 min at 90 degrees before tourniquet inflation. Supplementary brachial arterial compression is not recommended as this tends to attenuate changes in volume.
Authors:
P J Warren; P J Hardiman; V J Woolf
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  74     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-11-04     Completed Date:  1992-11-04     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  320-2     Citation Subset:  IM; S    
Affiliation:
Department of Biomedical Engineering, Royal National Orthopaedic Hospital, Stanmore, Middlesex.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arm / blood supply*
Brachial Artery / physiology
Constriction
Humans
Male
Plethysmography
Posture / physiology*
Regional Blood Flow / physiology
Time Factors
Tourniquets*
Comments/Corrections

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


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