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May 1, 2012Journal of the American Academy of Orthopaedic Surgeons

Safe Tourniquet Use: A Review of the Evidence

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Key result

Sparse evidence exists in support of strict limits for tourniquet use, including duration, inflation pressure, and reperfusion periods, though general guidelines can be extrapolated for safe practice.

Design

Review

Authors

PFPeter G. FitzgibbonsCDChristopher W. DiGiovanniSHSayed Hares

Discussion

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Overview

Sparse evidence precludes strict tourniquet limits; leaves open prospective trials to define safe parameters.

Structured PICO

I
Intervention
Tourniquet use in the upper and lower extremities

There is sparse evidence to support strict limits for tourniquet duration, inflation pressure, and reperfusion periods, highlighting the need to rely on general principles for safe practice.

Cite This Study

Fitzgibbons et al. (2012) conducted a review in Tourniquet use in the upper and lower extremities. Tourniquet use was evaluated. Sparse evidence exists in support of strict limits for tourniquet use, including duration, inflation pressure, and reperfusion periods, though general guidelines can be extrapolated for safe practice.

synapsesocial.com/papers/6a842fe374ee596ff2c52088https://doi.org/10.5435/jaaos-20-05-310
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Also Consider

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

  1. 1Tourniquet Pressure: The Effect of Limb Circumference and Systolic Blood Pressure1985 · 49 citations
  2. 2The Effect of Tourniquet Use in Anterior Cruciate Ligament Reconstruction1996 · 69 citations
  3. 3Creatine Phosphokinase Release as a Measure of Tourniquet Effect on Skeletal Muscle1976 · 76 citations
  4. 4Effect of Tourniquet Time on Postoperative Quadriceps Function1979 · 159 citations
  5. 5Tourniquet-induced Exsanguination in Patients Requiring Lower Limb Surgery1996 · 99 citations