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A survey of upper and lower limb tourniquet use among Irish orthopaedic surgeons.
MedLine Citation:
PMID:  23296382     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Tourniquet use in orthopaedic surgery is common practice. However, the technique varies among Irish orthopaedic surgeons and there are no standard guidelines. AIM: To analyse trends in tourniquet use among Irish orthopaedic surgeons. METHODS: Ninety-two Irish orthopaedic consultants were sent a 15-survey question about tourniquet use by post. RESULTS: Sixty respondents returned a completed survey, of which 49 (81 % of respondents) used both upper arm and thigh tourniquets. A variation in tourniquet pressure settings and techniques used was reported. Thirty-nine surgeons (65 % of respondents) use a tourniquet pressure range of 201-250 mmHg for the upper arm and 30 surgeons (50 % of respondents) use a range of 251-300 mmHg for the thigh. Thirty-six surgeons (60 % of respondents) experienced a complication secondary to tourniquet use, the most common complications being nerve and skin injury. CONCLUSIONS: Based on published studies of limb occlusion pressures, this study suggests that some of the tourniquet cuff inflation pressures used may be higher than necessary. Guidelines for optimising cuff pressure and technique should be established to minimise the risk of complications. This study may help determine direction for future research on tourniquet use.
Authors:
L Cunningham; T McCarthy; J O'Byrne
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-8
Journal Detail:
Title:  Irish journal of medical science     Volume:  -     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Trauma and Orthopaedic Surgery, Royal College of Surgeons in Ireland, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland, larrycunningham@hotmail.com.
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