metabolic effects of tourniquet application in burn patients

نویسندگان

ali akbar mohammadi shiraz burn research center, division of plastic and reconstructive surgery, department of surgery, shiraz university of medical sciences, shiraz, iran

mohammad reza pakyari shiraz burn research center, department of surgery, shiraz university of medical sciences, shiraz, iran

seyed morteza seyed jafari shiraz burn research center, division of plastic and reconstructive surgery, department of surgery, shiraz university of medical sciences, shiraz, iran

mansour jannati cardiovascular surgery ward, shiraz university of medical sciences, shiraz, iransurgery ward, shiraz university of medical sciences, shiraz, iran

چکیده

background despite several studies investigating the pathophysiologic effects of tourniquet usage in extremity surgeries, there are not enough data about these effects in adhesion release surgeries of burn patients. in the light of numerous metabolic changes of burn tissues, we tried to determine whether there are any significant differences in metabolic responses of burn tissues to tourniquet ischemia in comparison to the findings of other studies in non burn tissue responses during tourniquet usage in extremity surgeries. methods from march 2009 to april 2011, eighteen patients who were candidates for performing upper extremity adhesion release surgeries were enrolled. patients with renal, hepatic, metabolic and any other underlying diseases were excluded from the study. blood samples for determination of ph, pco2 and hco3 were obtained from the occluded hand (as the local response indicator of the body to ischemia) and the other hand too (as the systemic response indicator). the time for blood sampling was just before tourniquet inflation, 30 seconds, one minute, three minutes and five minutes after cuff inflation. results thirty seconds after tourniquet release, a rapid decrease was noticed in ph values (7.38±0.04-->7.21±0.08). this decrease was seen after 60s in the opposite hand (7.38±0.04-->7.27±0.01) and returned to the baseline values after 5 minutes in both hands. the blood pco2 value in the occluded hand was found to be increased 30s after tourniquet release (34.93±3.96-->50.06±11.78), while this increase was seen after 180s in the opposite hand too (34.93±3.96-->38.98±9.21). hco3 value increased after 30s (19.79±2.31-->20.62±2.37) in the occluded hand, but this increase was visible after 60s in the opposite hand. we found no significant difference in the response of burn patients to tourniquet ischemia in comparison to non-burn patients. conclusion there was no extra risk in the application of tourniquet in extremity surgeries of burn patients in comparison to non-burn patients. so current protocols of tourniquet application in non-burn patients can be used for adhesion release surgeries in burn patients without any extra caution.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Metabolic Effects of Tourniquet Application in Burn Patients

BACKGROUND Despite several studies investigating the pathophysiologic effects of tourniquet usage in extremity surgeries, there are not enough data about these effects in adhesion release surgeries of burn patients. In the light of numerous metabolic changes of burn tissues, we tried to determine whether there are any significant differences in metabolic responses of burn tissues to tourniquet...

متن کامل

Metabolic Effects of Tourniquet Application in Burn Patients

BACKGROUND Despite several studies investigating the pathophysiologic effects of tourniquet usage in extremity surgeries, there are not enough data about these effects in adhesion release surgeries of burn patients. In the light of numerous metabolic changes of burn tissues, we tried to determine whether there are any significant differences in metabolic responses of burn tissues to tourniquet ...

متن کامل

Systemic and local effects of the application of a tourniquet.

The effect of the application of a tourniquet to a limb and the release of the accumulated metabolites have been investigated with reference to the acid-base level in the blood from the limb and in the right atrium. Investigations have been carried out experimentally in rhesus monkeys and observations have been made on patients undergoing reconstructive operations on the knee. The acidotic bloo...

متن کامل

application of brand personality scale in automobile industry: the study of samand’s brand personality dimensions

این تحقیق شخصیت برند سمند را در ایران با استفاده از مدل پنج بعدی آکر (1997) بعنوان یک چهارچوب بطور توصیفی سنجیده است. بنابر این چهارچوب که دراصل در 42 جزء (42 ویزگی شخصیتی) ودر پنج بعد شخصیتی طراحی شده بود ودر کشورها وصنایع مختلف آزموده شده بود, پرسنامه به زبان فارسی ترجمه شده و با استفاده از روشهای ترجمه معکوس و مصاحبه عمیق با 12 متخصص ایرانی به 38 جزء کاهش یافت. و نظرسنجی ای در پنج نمایندگی ا...

15 صفحه اول

Effects of Topical Application of Royal Jelly on Second-Degree Burn Wound Healing in Male Rats

Background and Aims: Burn injury remain as a major medical problem throughout the world. This injury is accompanied with inflammatory and wound healing responses. Since royal jelly (RJ) has anti-inflammatory and wound healing activity therefore, the aim of this study was to evaluate the repairing effects of RJ on skin burn- damage. Materials and Methods: In an experimental study, 40 male Wista...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
world journal of plastic surgery

جلد ۳، شماره ۱، صفحات ۲۴-۲۸

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023