Tourniquet Time — how Long?

HAND ◽  
1980 ◽  
Vol os-12 (3) ◽  
pp. 231-234 ◽  
Author(s):  
Leslie Klenerman

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.

2015 ◽  
Vol 5 (1) ◽  
pp. 20-35
Author(s):  
Ineke Kesuma Ningsih ◽  
Fitri Electrika D. Surawan ◽  
Zulman Efendi

The purpose of this research was to determine the percentage of each type of ‘roti manis’ physical damage, to identify factors causing the damages, and to determine whether the percentage amount of damage was whithin the business control limit. Types of damage observed were broken, too small in size, in appropriate form, over heated or burned.  Observation was conducted during 16 working days (one month) at Barokah Bakery in Lahat.  Result of the research showed that the broken damage was 1,31%; the too small in size was 1,1%; the unacceptable form was 0,98%; and no damage of over heat. Based on the causal effect analysis, it was found that the main factor causing ‘roti manis’s damages was caused by process inadequately. Result of diagram control analysis showed that the overall average damage was 3,4% with the upper limit was 5,2% and the lower limit was 1,6%. The percentage of the damage was considered high but it was within the company control limit of 2-4%


Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 55-59 ◽  
Author(s):  
Mubashir H. Cheema ◽  
Syed N. Ali ◽  
Rosemary Chukwulobelu ◽  
Francis C. Peart

Finger tourniquets are widely used in hand surgery. However, they do not provide an estimate of the amount of pressure exerted and can potentially be left in situ with grave consequences. We assessed the pneumatic finger tourniquet in 57 adult patients in operations under local anaesthesia distal to the proximal interphalangeal joint. The average tourniquet time was 12 minutes. The tourniquet maintained its pressure for the length of the operation in 96.5% of cases. This airtight flat tubing is made of synthetic polymer, designed and manufactured by Barloworld Scientific Ltd (Staffordshire, UK). The tourniquet was easy to use and easily located after the operation. No complications were reported. This study supports the use of a pneumatic tourniquet in finger injuries requiring use of a finger tourniquet.


2001 ◽  
Vol 93 (3) ◽  
pp. 776-780 ◽  
Author(s):  
Kazuyoshi Hirota ◽  
Hiroshi Hashimoto ◽  
Shizuko Kabara ◽  
Toshihito Tsubo ◽  
Yutaka Sato ◽  
...  

2017 ◽  
Vol 25 (1) ◽  
pp. 29-34
Author(s):  
Andrzej Adamkiewicz ◽  
Wojciech Zeńczak

Abstract Heavy oils (HFO fuels) used on ships play a part in degradation of technical condition of heat exchange surfaces of utilization boilers especially on the exhaust gas side. Presence of sulphur in these fuels is the main factor favouring degradation. The upper limit for sulphur content in the fuel used outside the SECA areas equal to 3.5% is currently in force, at least until the year 2020 or 2025. The recommended by classification societies overhauls of utilization boilers are, therefore characterized by a specially chosen strategy thanks to which it is possible to maintain their appropriate technical condition. The requirement to use fuels with low sulphur content (LSFO), which are significantly more expensive than MDO fuels, in the areas of controlled sulphur emissions also led to a further introduction of alternative fuels, such as methanol and above all liquefied natural gas (LNG), onto ships. That is especially valid for the ship owners whose vessels e.g. ferries sail mainly within SCECA This article analyses the consequences of the introduced fuel change on utilization boiler maintenance. A change in the technical condition maintenance strategy for utilization boilers has been suggested.


2000 ◽  
Vol 93 (3A) ◽  
pp. A-300
Author(s):  
Kazuyoshi Hirota ◽  
Hiroshi Hashimoto ◽  
Shizuko Kabara ◽  
Hironori Ishihara ◽  
Akitomo Matsuki

2015 ◽  
Vol 54 (03) ◽  
pp. 106-111 ◽  
Author(s):  
S. L. Andersen ◽  
P. Laurberg

SummaryThyroid hormones are essential development factors and maternal thyroid dysfunction may cause pregnancy complications and diseases in the fetus/child. In the present review we discuss new data on the incidence of Graves'-Basedow disease (GBD) in and around pregnancy, and how hyperthyroidism may affect the risk of spontaneous abortion and stillbirth.A special concern in pregnant women is the potential side effects from the use of antithyroid drugs (ATDs). One type of side effects is the allergic/toxic reactions to the drugs, which seem to be similar in and outside pregnancy, and another is that ATDs tend to over treat the fetus when the mother with GBD is made euthyroid. To avoid fetal hypothyroidism, the lowest possible ATD dose should be used to keep maternal thyroid function at the upper limit of normality with low serum TSH. Birth defects after the use of methimazole (MMI) (or its prodrug carbimazole) have been considered to be very rare, and no risk has previously been associated with the use of propylthiouracil (PTU). However, a recent Danish national study found that 1/30 of children exposed to MMI in early pregnancy had birth defects associated with this, and many defects were severe. PTU exposure was associated with defects in 1/40, and these defects were less severe. Proposals are given on how to reduce the risk of ATD associated birth defects.


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