Document Detail

The effect of tourniquet padding on the efficiency of tourniquets of the upper limb.
MedLine Citation:
PMID:  17463125     Owner:  NLM     Status:  MEDLINE    
We report the effect of padding on the efficiency of the pneumatic tourniquet for the upper limb. Varying thicknesses of two commercially-available types of orthopaedic padding (Cellona and Velband) were applied to the arms of 20 volunteers, with three pressure transducers placed directly beneath the padding. A tourniquet was positioned over the padding and inflated to 220 mmHg. Significant reductions in the transmitted pressure were recorded from the transducers with both padding materials. With eight layers of padding, reductions in pressure of 13% (1% to 26%) and 18% (7% to 35%) were seen with Cellona and Velband, respectively. The reduction in pressure with Velband padding correlated with increasing arm circumference (Pearson's correlation coefficient 0.711, p < 0.001). Studies to date have examined how arm circumference affects the required tourniquet inflation pressure. Our study is the first to investigate the effect of the padding and the findings suggest that using more than two layers results in a significant reduction in the transmitted pressure.
A Rajpura; B V Somanchi; L T S W Muir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  89     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-09-25     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  532-4     Citation Subset:  AIM; IM    
Department of Orthopaedics, Hope Hospital, Stott Lane, Salford M6 8HD, UK.
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MeSH Terms
Arm / blood supply*
Hemostasis, Surgical / methods
Stress, Mechanical
Transducers, Pressure

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

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