Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2014 / Cilt: 48 - Sayı: 5

Tourniquet use in orthopedic surgery: a descriptive survey study among Turkish orthopedic surgeons and residents in Istanbul

Sayfa
483–490
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The outcomes of the survey should be cautionary for orthopedic physicians to review the current utilization and replace personal teachings and experience-based methods with evidence-based best practices for tourniquet application.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: The aim of this study was to investigate and interpret the trends in tourniquet use and the accuracy of knowledge among Turkish orthopedic physicians through face-to-face survey.Methods: Turkish orthopedic physicians actively practicing operative orthopedics were questioned in a 12 question face-to-face survey.
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Temel Bulgular & Veri:Answers gathered were analyzed statistically.Results: The survey was completed by 211 orthopedic physicians.
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Sonuç & Katkı:The outcomes of the survey should be cautionary for orthopedic physicians to review the current utilization and replace personal teachings and experience-based methods with evidence-based best practices for tourniquet application.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The aim of this study was to investigate and interpret the trends in tourniquet use and the accuracy of knowledge among Turkish orthopedic physicians through face-to-face survey.Methods: Turkish orthopedic physicians actively practicing operative orthopedics were questioned in a 12 question face-to-face survey. Personal information of physicians, preferred cuff pressure (CP) and tourniquet inflation time (TIT) and the source of the information for these preferences were questioned. Answers gathered were analyzed statistically.Results: The survey was completed by 211 orthopedic physicians. Mean preferred CP and TIT was 247.1 mmHg and 108.6 minutes, respectively, in the upper limb (UL) and 345.02 mmHg and 122.4 minutes, respectively, in the lower limb (LL). A statistically significant correlation was found between the amount of pressure preferred in the LL and the years of practice; longer the years in practice, higher the amount of pressure preferred (r=0.144, p=0.04). Tourniquets were used for a maximum period of 120 minutes for the UL by 95.7% of participants and for the LL by 84.8%.Conclusion: The amount of CP used by the orthopedic physicians surveyed is inconsistent with the literature with frequent use of CP higher than those scientifically recommended. The outcomes of the survey should be cautionary for orthopedic physicians to review the current utilization and replace personal teachings and experience-based methods with evidence-based best practices for tourniquet application.

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Bu Makaleye Atıf Yap

YALÇINKAYA, M., SÖKÜCÜ, S., ERDOĞAN, S., KABUKÇUOĞLU, Y. S. (2014). Tourniquet use in orthopedic surgery: a descriptive survey study among Turkish orthopedic surgeons and residents in Istanbul. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 - Sayı: 5, 483–490. https://ajindex.com/articles/354406

Kaynakça (16)

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