Obesity not only gives rise to more blood loss volume but also correlates with postoperative rehabilitation and complications in surgical patients. It is not clear at present whether tourniquet utilization is associated with blood loss, rehabilitation, and complications, and it is imperative to ascertain the tactics of utilizing tourniquet in obese patients undergoing total knee arthroplasty (T...

OBJECTIVE Tourniquet use for extremity hemorrhage control is common in military trauma. Tourniquet use may be accompanied by systemic hypotension, but this phenomenon has not been studied. We aimed to define the muscle effects of the combined insult of tourniquet-induced skeletal muscle ischemia-reperfusion injury (I-R) and hemorrhagic hypotension. DESIGN After a 33% carotid arterial hemorrha...

BACKGROUND In our study, we used meta-analysis to study the efficacy of the tourniquet on ankle trauma surgery. Postoperative infection rate, deep venous thrombosis incidence, hospital stay, and joint range of motion were studied to compare the tourniquet and non-tourniquet groups and provide certain references for clinical decision. METHODS We searched PubMed, MEDLINE, EMBASE, and the Cochra...

BACKGROUND AND PURPOSE Tourniquet application is still a common practice in total knee arthroplasty (TKA) surgery despite being associated with several adverse effects. We evaluated the effects of tourniquet use on functional and clinical outcome and on knee range of motion (ROM). PATIENTS AND METHODS 70 patients who underwent TKA were randomized into a tourniquet group (n = 35) and a non-tou...

Introduction: Ischemic-reperfusion nerve injury has been suggested as the mechanism for post-tourniquet limb paralysis. Dexamethasone (Dex) has been known to prevent ischemic-reperfusion side effects in some tissues, we here evaluated its possible preventing effect on tourniquet induced nerve injury. Methods: 36 male Wistar rats (200-250 g) were divided randomly into 6 equal groups named as Sha...

Objective Tourniquet use in total knee replacement (TKR) is believed to improve the bone-cement interface by reducing bleeding, potentially prolonging implant survival. This study aimed compare risk of revision for primary cemented TKR performed with or without a tourniquet. Design We analysed data from National Joint Registry (NJR) all TKRs England and Wales between April 2003 December 2003. K...

BACKGROUND Venous blood sampling is usually performed using a tourniquet to help locate and define peripheral veins to achieve successful and safe venipuncture. Despite widespread usage of tourniquets for venipuncture by medical and laboratory staff, very few are aware of the effects of tourniquet application on laboratory parameters. In addition, definitive guidelines regarding when and how to...

OBJECTIVE The objective of this study was to compare the effect of tourniquet-induced ischemia/reperfusion (I/R) injury on the recovery of muscle function with and without prior hemorrhage. METHODS Male Sprague-Dawley rats (initially 400-450 g) were randomly assigned to 1 of 4 groups (n=8 per group): (1) hemorrhage (33% of estimated blood volume) plus tourniquet +H/+TK; (2) tourniquet alone (...

Corresponding author: Yun Hee Lim, M.D., Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Sanggye 7-dong, Nowongu, Seoul 139-707, Korea. Tel: 82-2-950-1173, Fax: 82-2-950-1323, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), w...

INTRODUCTION Battlefield tourniquet use can be lifesaving, but most reports are from hospitals with knowledge gaps remaining at the forward surgical team (FST). The quality of tourniquet applications in forward settings remain unknown. The purpose of this case series is to describe observations of tourniquet use at an FST in order to improve clinical performance. METHODS War casualties with t...