Guideline for pneumatic tourniquet safety

AORN Journal ◽  
2020 ◽  
Vol 111 (4) ◽  
Author(s):  
Lisa Croke
Keyword(s):  
Pneumatic Tourniquet

Tourniquet Time — how Long?

HAND ◽  
1980 ◽  
Vol os-12 (3) ◽  
pp. 231-234 ◽  
Author(s):  
Leslie Klenerman
Keyword(s):  
Tourniquet Time ◽  
Pneumatic Tourniquet ◽  
Upper Limit ◽  
Mercury Manometer ◽  
Main Factor

Tourniquet pressure rather than prolonged ischaemia is the main factor responsible for nerve palsies. It is essential to check the accuracy of the gauge of a pneumatic tourniquet against a mercury manometer regularly, as the commonest cause of a tourniquet paralysis is a faulty gauge. With regard to ischaemia three hours should be regarded as the upper limit of safety.

The “Mini-Bier’s Block”: A New Technique for Prevention of Tourniquet Pain During Axillary Brachial Plexus Anaesthesia

1994 ◽  
Vol 19 (3) ◽  
pp. 347-349 ◽  
Author(s):  
N. K. JAMES ◽  
C. T. K. KHOO ◽  
R. H. FELL
Keyword(s):  
Brachial Plexus ◽  
Regional Anaesthesia ◽  
Low Dose ◽  
New Technique ◽  
Controlled Study ◽  
Axillary Block ◽  
Pneumatic Tourniquet ◽  
Axillary Approach ◽  
A New Technique ◽  
Local Block

Tourniquet cuff pain is a significant cause of morbidity following regional anaesthesia of the upper limb. We describe a simple new technique for effectively anaesthetizing the area under a pneumatic tourniquet (the “mini-Bier’s block”), which permits comfortable surgery under axillary block anaesthesia even if the local block is incomplete. We report a controlled study of 40 patients in whom statistically significant tourniquet cuff pain relief was obtained in patients receiving an additional low-dose intravenous injection of local anaesthetic localized beneath the cuff. This technique ensures that the safe axillary approach to the brachial plexus can always be used with avoidance of pain from the pressure of the tourniquet cuff.

scholarly journals Unusual complication of pneumatic tourniquet-chemical burn

Injury Extra ◽  
2012 ◽  
Vol 43 (3) ◽  
pp. 21-24
Author(s):  
Loveneesh G. Krishna ◽  
Davinder Singh ◽  
Alok Gupta ◽  
Sunil Sehrawat ◽  
Abbas Shehreyar
Keyword(s):  
Unusual Complication ◽  
Chemical Burn ◽  
Pneumatic Tourniquet

Effects of reperfusion intervals on skeletal muscle injury beneath and distal to a pneumatic tourniquet

1992 ◽  
Vol 17 (2) ◽  
pp. 245-255 ◽  
Author(s):  
Robert A. Pedowitz ◽  
David H. Gershuni ◽  
Jan Fridén ◽  
Steven R. Garfin ◽  
Björn L. Rydevik ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Muscle Injury ◽  
Pneumatic Tourniquet ◽  
Skeletal Muscle Injury
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