The position of the tourniquet on the upper limb

The Journal of Bone and Joint Surgery. British Volume
A Odinsson, V Finsen

Abstract

Our aim was to determine if a tourniquet placed on the forearm has any advantage in clinical practice over the usual position on the upper arm. We randomised 50 patients who were undergoing an open operation for carpal tunnel syndrome under local anaesthesia into two groups. One had a tourniquet on the upper arm and the other on the forearm. The blood pressure, pulse, and level of pain were recorded at intervals of five minutes during the operation. The surgeons were also asked to evaluate the quality of the anaesthesia, the bloodless field, and the site of the tourniquet. The patients tolerated the tourniquet on the upper arm and forearm equally well. The surgeons had some difficulties when it was placed on the forearm. We therefore recommend placement of a tourniquet on the upper arm for operations on the hand and wrist which are carried out under local anaesthesia.

Citations

Oct 14, 2004·International Orthopaedics·Alberto D Delgado-MartinezA Palma
Jun 12, 2010·The Journal of Hand Surgery·Christopher Cox, Jeffrey Yao
Feb 14, 2008·AORN Journal·UNKNOWN AORN Recommended Practices Committee
Jan 16, 2015·The Journal of Hand Surgery, European Volume·G R CousinsP K Rickhuss
Nov 25, 2006·The Journal of Hand Surgery, European Volume·A K S ChongB H Lim
Jun 20, 2008·The Journal of Hand Surgery, European Volume·G ProdhommeF Schuind
Aug 5, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Line LiedVilhjalmur Finsen
Mar 21, 2015·Iranian Red Crescent Medical Journal·Alireza SaiedAfshin Ahmadzadeh Heshmati

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