conclusions this study showed that a pneumatic arm tourniquet as an adjunct to ivra provides acceptable analgesia following the deflation of the double- cuff tourniquet for relieving surgical pain. results the mean operation time after the deflation of the double-cuff tourniquet was 20.12 ± 6.1 minutes. moreover, the mean nrs for the post-deflation time was insignificant (nrs = 2), and only one...

background: the pneumatic tourniquet (pt) is routinely used in upper and lower limb operations by most orthopaedic surgeons. the silicone ring tourniquet (srt) was introduced in clinical practice the last decade. clinical as well comparative studies in volunteers concerning its safety and efficacy have been published. the aim of this study was to investigate the postoperative effect of the sili...

BACKGROUND The effects of cuff shape, timing of tourniquet application, and automated systems using limb occlusion pressure (LOP) have been reported to minimize the appropriate tourniquet pressure. However, studies on the raw material of the cuff itself to reduce the complications related to the tourniquet have been very rarely reported. The purpose of this study is to report the efficacy and s...

BACKGROUND Intravenous Regional Anesthesia (IVRA) is a well-known technique for producing analgesia during surgical procedures in the extremities. However, the rapid onset of pain following the deflation of a double-cuff tourniquet during IVRA is a serious disadvantage, leading patient suffering. OBJECTIVES The aim of this study was to evaluate the clinical effectiveness of a pneumatic arm to...

This study examines the relationship between pneumatic tourniquet cuff size, occlusion pressure and the resulting pain. Two tourniquet cuff widths were used, a wide (14 cm) and a narrow cuff (7 cm). Twenty volunteers were divided into two groups for tourniquet application: a pressure group in which the tourniquet was inflated to a pressure equal to the systolic pressure + 100 mmHg, and a satura...

Use of the lowest possible cuff inflation pressure should minimize the pathogenic effects of compression beneath the pneumatic tourniquet. Curved tourniquets (designed to fit conically shaped limbs) and wider tourniquets were associated with significantly lower arterial occlusion pressure (AOP) than standard, straight tourniquets on the arms and legs of 26 normal volunteers. These tourniquets w...

Tourniquet-induced peripheral neuropathy is at least partially attributable to excessive forces applied to the nerves beneath cuffs inflated to high pressures. Lowering the inflation pressure to the minimum necessary to obtain an effective arrest of blood flow distal to the tourniquet cuff should increase the safety of these systems. Tourniquet cuffs with widths varying from 4.5 cm to 80 cm wer...

There are few clear guidelines on the proper use of tourniquets in pediatric surgery, in particular on how to set the tourniquet pressure, how to select the most appropriate cuff, and whether to use some type of soft padding beneath the cuff for limb protection. The authors could find only one published study specifically addressing pediatric cuff pressures, and no studies showing what types of...

We have examined the effect of EMLA on tourniquet pain and compared it with those of subcutaneous ring anaesthesia (SRA), a double cuff technique and a single cuff (control) during i.v. regional anaesthesia. The durations of analgesia (mean 57.3 (SD 16.6) min) and tolerance (72.3 (13.9) min) to tourniquet inflation in the EMLA group were comparable to those in the SRA group (54.1 (16.2) min and...

BACKGROUND Tourniquet technique varies among foot and ankle surgeons, and to establish a standard practice guideline the current standard of care should be examined. METHODS One hundred and forty responses were received after 253 surveys were mailed to American Orthopaedic Foot and Ankle Society (AOFAS) members, concerning type of tourniquets, location, and pressures used. RESULTS Cuff pres...