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Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2016 / Cilt: 50 - Sayı: 2

Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures

BAHATTİN TUNCALI
Hakan BOYA
Zeynep KAYHAN
Şükrü ARAÇ
Mehmet Ali Koray ÇAMURDAN
Sayfa
171–177
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Its usage allows achievement of a bloodless field with inflation pressures lower than those previously recommended in the literature for lower limb tourniquets

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: The effectiveness of the arterial occlusion pressure (AOP) estimation method to set tourniquet inflation pressures was assessed in patients undergoing lower limb surgery.Methods: One hundred ninety-eight operations were performed in 224 lower extremities of 193 patients.
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Temel Bulgular & Veri:Tourniquet inflation pressures were set using the AOP estimation formula and adding 20 mmHg of safety margin to AOP value.
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Sonuç & Katkı:Its usage allows achievement of a bloodless field with inflation pressures lower than those previously recommended in the literature for lower limb tourniquets
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The effectiveness of the arterial occlusion pressure (AOP) estimation method to set tourniquet inflation pressures was assessed in patients undergoing lower limb surgery.Methods: One hundred ninety-eight operations were performed in 224 lower extremities of 193 patients. Tourniquet inflation pressures were set using the AOP estimation formula and adding 20 mmHg of safety margin to AOP value. Primary outcome measures were the amount of tourniquet pressure and its effectiveness. The quality of the surgical field and complications were assessed by the surgical team in a blinded fashion. Secondary measures included the time required to set the tourniquet pressure and complications.Results: The initial and maximal tourniquet pressures used were 168.4±14.5 and 173.3±15.6 mmHg, respectively. The performance of the tourniquets was assessed as "excellent" and "good" in all stages of the procedure in 97.76% of cases. The time required to measure AOP and set the tourniquet cuff pressure was 19.0±2.6 sec. No complications occurred during or after surgery until discharge.Conclusion: Clinical utilization of the AOP estimation formula is a practical and effective way of setting tourniquet pressures for lower limb surgery. Its usage allows achievement of a bloodless field with inflation pressures lower than those previously recommended in the literature for lower limb tourniquets

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Bu Makaleye Atıf Yap

TUNCALI, B., BOYA, H., KAYHAN, Z., ARAÇ, Ş., ÇAMURDAN, M. A. K. (2016). Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica et Traumatologica Turcica, Cilt: 50 - Sayı: 2, 171–177. https://ajindex.com/articles/354590

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