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Surgical Tourniquets in Orthopaedics

2009; Wolters Kluwer; Volume: 91; Issue: 12 Linguagem: Inglês

10.2106/jbjs.i.00634

1535-1386

Shahryar Noordin, James A. McEwen, Colonel John F Kragh, Andrew Eisen, Bassam A. Masri,

Traumatic Brain Injury and Neurovascular Disturbances

Higher levels of tourniquet pressure and higher pressure gradients beneath tourniquet cuffs are associated with a higher risk of nerve-related injury. Measurement of limb occlusion pressure can help to minimize tourniquet pressure levels and pressure gradients for individual patients and individual surgical procedures. Selective use of pneumatic, wider, and contoured tourniquet cuffs reduces tourniquet pressure levels and the applied pressure gradients.