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April 1, 1985Journal of Hand Surgery (European Volume)

Tourniquet Pressure: The Effect of Limb Circumference and Systolic Blood Pressure

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Why the study?

What is the minimal pneumatic tourniquet pressure necessary to produce a bloodless field during limb surgery?

Population

Patients undergoing elective surgery of the upper and lower limbs

Design

Cross-sectional

Authors

ATAlan J. Thurston

Discussion

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Overview

May support lower tourniquet pressures in average patients; cross-sectional data leaves open need for randomized validation.

Structured PICO

What is the minimal pneumatic tourniquet pressure necessary to produce a bloodless field during limb surgery?

P
Population
Patients undergoing elective surgery of the upper and lower limbs
I
Intervention
Determination of minimal pneumatic tourniquet pressure based on limb circumference and systolic blood pressure
O
Outcome
Tourniquet pressure at which capillary bleeding occurredsurrogate

Minimal tourniquet pressures of 200 mm Hg for upper limbs and 250 mm Hg for lower limbs are adequate for average-sized normotensive patients, potentially reducing complications from excessive pressure.

Cite This Study

Alan J. Thurston (1985) studied this question.

synapsesocial.com/papers/6a7ca76f0ee04b7d6bfab0c2https://doi.org/10.1016/0266-7681(85)90002-6
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recommendations for Human Blood Pressure Determination by Sphygmomanometers1967 · 892 citations
  2. 2The relationship between tourniquet pressure and underlying soft-tissue pressure in the thigh.1982 · 174 citations
  3. 3TOURNIQUET PARALYSIS SYNDROME1954 · 81 citations
  4. 4The effect of pneumatic tourniquets on the ultrastructure of skeletal muscle1979 · 151 citations
  5. 5Systemic Reactions to Tourniquet Ischaemia1978 · 62 citations