Recent Questions on Tourniquet
Safety and Use
1.) What is the best way to
determine the lowest effective tourniquet
pressure?
2.) What is a good protocol or
clinical practice guideline concerning
the use of tourniquets for IVRA or
Bier-block anesthesia?
3.) For pediatric patients,
what is a good protocol to follow?
4.) Should a soft bandage
(such as stockinet or webril) be applied
to the limb at the cuff site?
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Refer to the
following two studies: Tredwell
SJ, Wilmink M, Inkpen K, and
McEwen JA: 'Pediatric
tourniquets: Analysis of
cuff/limb interface, current
practice, and guideline for use'
Journal of Pediatric Orthopaedics
21(5): 671-6 (Sept-Oct 2001)
McEwen JA and Inkpen K:
'Tourniquet safety: Preventing
skin injuries.' The Surgical
Technologist 34(8) (Aug 2002): 6
- 15.
View
Abstracts
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5.) Should a tourniquet be
used on a patient who has a prior
femoral-popliteal bypass?
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Refer to the
first abstract in the Tourniquet-Related
Hazard Reports of the Past 10
Years or to the following
journal article: Kumar SN,
Chapman JA, Rawlins I. Vascular
Injuries in Total Knee
Arthrosplasty. A Review of the
Problem with Special Reference to
the Possible Effects of the
Tourniquet. J of Arth 1998 Feb;
13(2): 211-6
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6.) For patients having large
and obese thighs, what types of cuffs are
used, how are they to be applied, and how
are tourniquet pressure settings
estimated?
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