Key result
Tourniquet application during limb surgeries alters normal physiology, which is generally well-tolerated by healthy patients but may cause significant systemic and local complications in patients with poor cardiac function.
Tourniquet application during limb surgery induces significant physiological and hemodynamic changes that require careful management, particularly in patients with poor cardiac function.
Requires close hemodynamic monitoring in cardiac patients during tourniquet use; extends RCT-based safety data to high-risk populations.
Tourniquets are routinely and safely used in limb surgeries throughout the world. Tourniquet application alters normal physiology. Healthy patients tolerate these physiological changes well, but the physiological changes may not be well-tolerated by patients with poor cardiac function. This review discusses the physiological changes associated with tourniquet use, safe practice and provides the latest updates regarding tourniquet use. A systematic literature search of PubMed, MEDLINE, ScienceDirect, and Google Scholar was done. The search results were limited to the randomized controlled trials and systemic reviews. The papers are summarized in this review.
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Kumar et al. (2015) conducted a review in Patients undergoing limb surgeries with tourniquet application. Tourniquet application was evaluated. Tourniquet application during limb surgeries alters normal physiology, which is generally well-tolerated by healthy patients but may cause significant systemic and local complications in patients with poor cardiac function.
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