© Copyright, 2007, J.A. McEwen
Last updated December 2007

Other Selected Clinical Literature

For related journal articles, research any of the following titles:

  Abdulla WY, Fadhil NM. "A new approach to intravenous regional anesthesia." Anesth Analg 75(4) (1992): 597-601.

Adu-Gyamfi Y, Sankarankutty M, Marwa S. "Use of a tourniquet in patients with sickle-cell disease." Can J Anaesth 40 (1993): 24-7.

Association of Perioperative Registered Nurses. "Recommended practices for use of the pneumatic tourniquet." In Standards, Recommended Practices and Guidelines 2000. Denver: Association of Operating Room Nurses, Inc (2000): 305-9.

Bloch EC, Ginsberg B, Binner RA Jr., Sessler D. "Limb tourniquets and central temperature in anesthetized children." Ped Anesth 74(4) (1992): 486-89.

Boogaerts JG. "Lower limb exsanguination and embolism." Acta Anaesth Belg 50(2) (1999): 95-8.

Bould M, Freeman BJ, Pullyblank A, Newman JH. "Blood loss in sequential bilateral total knee arthroplasty." J Arthroplasty 13(1) (1998): 77-9.

Branson JJ, Goldstein WM. "Sequential bilateral total knee arthroplasty." AORN Journal 73(3) (2001): 610, 613-8.

Brown EM, McGriff JT, Malinowski RW. "Intravenous regional anaesthesia (Bier block): Review of 20 years' experience." Can J Anaesth 36(3) (1989): 307-10.

Bussani CR, McEwen JA. "Improved tracking of limb occlusion pressure for surgical tourniquets." IEEE Trans Bio - Med Eng 35 (1988): 221-9.

Chan CS, Pun WK, Chan YM, Chow SP. "Intravenous regional analgesia with a forearm tourniquet." Can J Anaesth 34(1) (1987): 21-5.

Choudhary S, Koshy C, Ahmed J, Evans J. "Friction burns to thigh caused by tourniquet." Brit J Plastic Surg 51(2) (1998): 142-3.

Crenshaw RG, Hargens AR, Gershuni DH, Rydevik B. "Wide tourniquet cuffs more effective at lower inflation pressures". Acta Orthop Scand 59(4) (1988): 447-51.

Crews JC, Denson DD, Hilgenhurst G, Bridenbaugh PO, Leavitt B, Steubing RC. "Tourniquet pain: The response to the maintenance of tourniquet inflation on the upper extremity of volunteers." Regional Anaesth 16(6) (1991): 314-17.

Davies JA, Hall ID, Wilkey AD, Smith JE, Walford AJ, Kale VR. "Intravenous regional analgesia: The danger of the congested arm and the value of occlusion pressure." Anaesthesia 39(5) (1983): 416-21.

Dellon AL. “Postarthroplasty “palsy” and systemic neuropathy: A peripheral-nerve management algorithm.” Annals Plastic Surg 55(6) (2005): 638-42.

Diamond EL, Sherman M, Lenet M. "A quantitative method of determining the pneumatic ankle tourniquet setting." J Foot Surg 24(5) (1985): 330-4.

Dickinson JC, Bailey BN. "Chemical burns beneath tourniquets." British Medical Journal 297 (December 10, 1993): 1513.

Dickson M, White H, Kinney W, Kambam JR. "Extremity tourniquet deflation increases end-tidal PCO2 " Anesth Analg 70(4) (1990): 457-58.

Estebe J, LeNaoures A, Chemaly L, Ecoffey C. "Tourniquet pain in a volunteer study: Effect of changes in cuff width and pressure." Anaesthesia 55(1) (2000): 21-6.

Finsen V, Kasseth AM. "Tourniquets in forefoot surgery: Less pain when placed at the ankle." J Bone Joint Surg 79(1) (1997): 99-101.

Gielen M., Stienstra R. "Tourniquet hypertension and its prevention: A review." Regional Anaesth 16(4) (1991): 191-94.

Golder M, Chan CLH, O’Shea S, Corbett K, Chrystie IL, French G. “Potential risk of cross-infection during peripheral-venous access by contamination of tourniquets.” Lancet 355(9197) (2000): 44.

Goodarzi M, Shier NH, Ogden JA. "Physiologic changes during tourniquet use in children." J Ped Orthop 12(4) (1992): 510-13.

Graham B, Breault MJ, McEwen JA, McGraw RW. "Occlusion of arterial flow in the extremities at subsystolic pressures through the use of wide tourniquet cuffs." Clin Orthop 286 (1993): 257-61.

Graham B, Breault MJ, McEwen JA, McGraw RW. "Perineural pressures undet the pneumatic tourniquet in the upper and lower extremity." J Hand Surg 17B(1992): 262-6.

Grice SC, Morell RC, Balestrieri FJ, Stump DA, Howard G. "Intravenous regional anesthesia: Evaluation and prevention of leakage under the tourniquet." Anesthesiology 65(3) (1986): 316-20.

Guerra JJ, Bednar JM. "Equipment malfunction in common hand surgical procedures: Complications associated with the pneumatic tourniquet and with the application of casts and splints." Hand Clinics 10(1) (1994): 45-52.

Guirguis EM, Bell MSG. "The wrist tourniquet: An alternative technique in hand surgery." J Hand Surg 15A(3) (1990): 516-19.

Harland P, Lovell ME. "An alternative method of tourniquet padding." Annals of the Royal College of Surgeons of England 76(2) (1994): 107.

Henderson CL, Warriner CB, McEwen JA, Merrick PM. "A North American survey of intravenous regional anesthesia." Anesth Analg 85(4) (1997): 858-63.

Hirst RP, Slee TA, Lam AM. "Changes in cerebral blood flow velocity after release of intraoperative tourniquets in humans: A transcranial Doppler study." Anesth Analg 71(5) (1990): 503-10.

Hsu HW, Huang CH, Chang Y, Shih RL, Chen LK, Chen TL. "Perioperative alterations of the thromboelastography in patients receiving one-stage bilateral total knee arthroplasty." Acta Anaesthesiol Sin 34(3) (1996): 129-34.

Huang CH, Wang MJ, Chen TL, Huang HH, Hsu HW, Susetio L, Liu CC. "Blood and central venous pressure responses after serial tourniquet deflation during bilateral total knee replacement." J Formos Med Assoc 95(6) (1996): 496-9.

Hutchinson DT, McClinton MA. "Upper extremity tourniquet tolerance." J Hand Surg 18A(2) (1993): 206-10.

Kadoi Y, Ide M, Saito S, Shiga T, Ishizaki K, Goto F. "Hyperventilation after tourniquet deflation prevents an increase in cerebral blood flow velocity." Can J Anaesth 46(3) (1999): 259-64.

Khuri S, Uhl RL, Martino J, Whipple R. "Clinical application of the forearm tourniquet." J Hand Surg 19A(5) (1994): 861-3.

Krackow KA. "A maneuver for improved positioning of a tourniquet in the obese patient." Clin Orthop 168 (1982): 80-2.

Lee TL, Tweed WE, Singh B. "Oxygen consumption and carbon dioxide elimination after release of unilateral lower limb pneumatic tourniquets." Anesth Analg 75(1) (1992): 113-17.

Lieberman JR, Staheli LT, Dales MC. "Tourniquet pressures on pediatric patients: A clinical study." Orthopedics 20(12) (1997): 1143-7.

Lundborg G. "Bloodless field and tourniquet compression." Acta Orthop Scand 62(6) (1991): 513-4.

Lynn AM, Fischer T, Brandford HG, Pendergrass TW. "Systemic responses to tourniquet release in children." Anesth Analg 65(8) (1986): 865-72.

Massey KA, Blakeslee C, Martin W, Pitkow HS. "Pneumatic ankle tourniquets: Physiological factors related to minimal arterial occlusion pressure." J Foot Ankle Surg 38(4) (1999): 256-63 and comments 306-7.

McLaren AC, Rorabeck CH. "The pressure distribution under tourniquets." J Bone Joint Surg 67A(3) (1985): 433-8.

McEwen JA. "Complications and improvements in pneumatic tourniquets used in surgery." Med Instrum 15 (1981): 253-7.

McEwen JA, Auchinleck GF. "Advances in surgical tourniquets." AORN Journal 36 (1982): 889-96.

McEwen JA, McGraw RW. "An adaptive tourniquet for improved safety in surgery." IEEE Trans Bio - Med Eng 29 (1982): 122-8.

McEwen JA, Inkpen K. "Tourniquet safety: Preventing skin injuries." Surgical Technologist 34(8) (2002): 6-15.

McEwen JA, Inkpen K, Younger A. " Thigh tourniquet safety." Surgical Technologist 34(7) (2002): 9-18.

McEwen JA, Kelly DL, Jardanowski T, Inkpen K. "Tourniquet safety in lower leg applications." Orthop Nursing 21(5) (2002): 55-62.

McGrath BJ, Hsia J, Boyd A, Shay P, Graeter J, Conry K, Campbell D, Naulty JS. "Venous embolization after deflation of lower extremity tourniquets." Anesth Analg 78(2) (1994): 349-53.

McGraw RW, McEwen JA. "The tourniquet." Chapter in Unsatisfactory Results in Hand Surgery. R. M. McFarlane, Ed. Churchill Livingstone, New York (1987), 5-13.

Michelson JD, Perry M. "Clinical safety and efficacy of calf tourniquets." Foot Ankle Int 17(9) (1996): 573-5.

Muirhead A, Newman RJ. "A low-pressure tourniquet system for the lower limb." Injury: the British Journal of Accident Surgery 17 (1986): 53-4.

Mohler LR, Pedowitz RA, Lopez MA, Gershuni DH. "Effects of tourniquet compression on neuromuscular function." Clin Orthop 359 (1999): 213-20.

Moore MR, Garfin SR, Hargens AR. "Wide tourniquets eliminate blood flow at low inflation pressures." J Hand Surg 12A(6) (1987): 1006-11.

Newman RJ, Muirhead A. "A safe and effective low pressure tourniquet: A prospective evaluation." J Bone Joint Surg 68B(4) (1986): 625-8

O'Neale M. "Clinical issues: Warming povidone iodine; irrigation solutions; incision techniques; tourniquet guidelines." AORN Journal 52 (1990): 1066,1068,1070.

Parmet JJ, Berman AT, Horrow JC, Harding S, Rosenberg H. "Thromboembolism coincident with tourniquet deflation during total knee arthroplasty." Lancet 341 (April 24, 1993): 1057-58.

Pauers RS, Carocci MA. "Low pressure pneumatic tourniquets: Effectiveness at minimum recommended inflation pressures." J Foot Ankle Surg 33(6) (1994): 605-9.

Pedowitz RA, Hershuni DH, Botte MJ, Kuiper S, Rydevik BL, Hargens AR. "The use of lower tourniquet inflation pressures in extremity surgery facilitated by curved and wide tourniquets and an integrated cuff inflation system." Clin Orthop 287 (1993): 237-44.

Pedowitz RA, Gershuni DH, Schmidt AH, Friden J, Rydevik BL, Hargens AR. "Muscle injury induced beneath and distal to a pneumatic tourniquet: A quantitative animal study of effects of tourniquet pressure and duration." J Hand Surg 16(4) (1991): 610-21.

Reid HS, Camp RA, Jacob WH. "Tourniquet hemostasis: A clinical study." Clin Orthop 177 (1983): 230-4.

Roraback CH. "Tourniquet-induced nerve ischemia: An experimental investigation." J Trauma 20(4) (1980): 280-286.

Rudolph H, Gartner J, Studtmann V. "[Skin lesions after utilization of a tourniquet]." Unfallchirurgie 16(5) (1990): 244-51. [Abstract in English & German, article in German]

Sapega AA, Heppenstall RB, Chance B, Park YS, Sokolow D. "Optimizing tourniquet application and release times in extremity surgery: A biochemical and ultrastructural study." J Bone Joint Surg 67A(2) (1985): 303-14.

Savvidis E, Parsch K. "[Prolonged transitory paralysis after pneumatic tourniquet use on the upper arm]." Unfallchirurgie 102(2) (1999): 141-4. [Article in German]

Shaw J, Murray D. "The relationship between tourniquet pressure and underlying soft tissue pressure in the thigh." J Bone Joint Surg 64A(8) (1982): 1148-52.

Tredwell SJ, Wilmink M, Inkpen K, McEwen JA. "Pediatric tourniquets: Analysis of cuff/limb interface, current practice, and guideline for use." J Ped Orthop 21(5) (2001): 671-6.

Walsh EF, Ben-David D, Ritter M, Mechrefe A, Mermel LA, Digiovanni C. “Microbial colonization of tourniquets used in orthopedic surgery.” Orthopedics 29(8) (2006): 709-13.

Warriner C, Fancourt-Smith P, McEwen J, Crane J. "Evaluation of a limb occlusion pressure (LOP) sensor and the relationship of tourniquet cuff design and application to LOP." Proc. 19th Can Med Biol Eng Conf (Ottawa, Canada), May 1993: 326-27.

Worland RL, Arredondo J, Angles F, Lopez-Jimenez F, Jessup DE. "Thigh pain following tourniquet application in simultaneous bilateral total knee replacement arthroplasty." J Arthroplasty 12(8) (1997): 848-52

Younger A, Kalla T, McEwen JA, Inkpen K. "Survey of tourniquet use in orthopaedic foot and ankle surgery." Foot Ankle Int, 26(3) (2005): 208-17.

Zimmer A. T.S. Cylindrical Tourniquet Cuff. Product instruction insert, Zimmer Patient Care Division, Dover, OH (1997).

Zimmer Sterile Disposable Tourniquet Cuff. Product instruction insert, Zimmer Patient Care Division, Dover, OH (1997).

An interesting history of military tourniquets, but not surgical tourniquets

Welling D, Burris D, Hutton J, Minken S, Rich N. "A balanced approach to tourniquet use: Lessons learned and relearned." J American College Surg, 203(1) (2006): 106-15

© Copyright, 2007, J.A. McEwen
Last updated December 2007
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