Plug the needle hub during subcision for a bloodless field

2019 ◽  
Vol 19 (5) ◽  
pp. 1179-1181
Author(s):  
T P Afra ◽  
Muhammed Razmi T ◽  
Narang Tarun ◽  
Sunil Dogra
Keyword(s):  
2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
O. Templeton-Ward ◽  
J. Feher ◽  
P. Davey

We have retrospectively reviewed our use of the S-MART sterile silicon ring self-exsanguinating tourniquet in 300 consecutive minor hand surgical procedures. A total of 3 postoperative complications were identified, only 1 of which was directly related to the tourniquet’s use. We outline the reasons of why we feel that this device provides a safe and effective bloodless field and the benefits of its use.


2000 ◽  
Vol 19 (4) ◽  
pp. 65-73 ◽  
Author(s):  
Holly A. Tarver ◽  
Sandra K. Oliver ◽  
Gloria J. Ramming ◽  
Becky Englemann

1978 ◽  
Vol 10 (1) ◽  
pp. 24-32 ◽  
Author(s):  
J. Larsson ◽  
D.H. Lewis

1953 ◽  
Vol 32 (1) ◽  
pp. 289???304 ◽  
Author(s):  
W. N. Rollason
Keyword(s):  

1958 ◽  
Vol 30 (1) ◽  
pp. 47
Author(s):  
M.H. ARMSTRONG DAVISON
Keyword(s):  

2016 ◽  
Vol 2 (1) ◽  
pp. 9-19
Author(s):  
Abhishek Vijayakumar ◽  

Tourniquet is invaluable instrument to plastic, hand and orthopedic surgeon. It helps create a bloodless field for easy operation and reduces operative time. The advantages of tourniquet is no without its share of complication including nerve and skin injuries and devastating vascular lesions leading to amputation or death. A thorough understanding of the local and systemic effect of tourniquet is essential to minimize the complication. Various physical and pharmacological modifications reduce the reperfusion injury and also help increase tourniquet time. This review discusses the principle, physiology and complications of tourniquet. Keywords: Tourniquet, Limb occlusion pressure, Reperfusion injury, Nerve palsies, Limb protector sleeves.


Foot & Ankle ◽  
1992 ◽  
Vol 13 (6) ◽  
pp. 344-349 ◽  
Author(s):  
Norman S. Lichtenfeld

The use of a pneumatic ankle tourniquet applied to the supramalleolar ankle region is a useful method of obtaining a bloodless field in surgery of the foot. The pneumatic ankle tourniquet allows for more accurate and reproducible control of circumferential compression than the standard Esmarch bandage, when used in conjunction with the regional ankle block. Between March 1987 and October 1990, 84 foot surgeries were performed using the pneumatic tourniquet and ankle block technique on 76 patients by one surgeon. Tourniquet ischemia lasted from 30 to 105 min. Tourniquet pressure was set to 100 to 150 mm of mercury above systolic blood pressure without exceeding 325 mm of mercury. Two patients reported mild pain directly beneath the tourniquet after 45 and 70 min, respectively. Neither patient required deflation of the tourniquet to complete the procedure. The clinical and electrophysiologic evidence showed that no neurologic or vascular damage occurs. The use of the pneumatic tourniquet in conjunction with regional ankle block anesthesia provides a reasonable alternative to the standard thigh tourniquet for surgery of the foot.


2013 ◽  
Vol 41 (6) ◽  
pp. 406-410
Author(s):  
Makoto KATSUNO ◽  
Rokuya TANIKAWA ◽  
Takanori MIYAZAKI ◽  
Genki UEMORI ◽  
Kazutsune KAWASAKI ◽  
...  

1992 ◽  
Vol 63 (2) ◽  
pp. 234-235
Author(s):  
Antti Alho ◽  
GÖRan Laadborg
Keyword(s):  

2007 ◽  
Vol 37 (3) ◽  
pp. 139-141 ◽  
Author(s):  
A L Akinyoola ◽  
L M Oginni ◽  
E A Orimolade ◽  
O J Ogundele

A bloodless field is important in many orthopaedic operations necessitating the use of a pneumatic tourniquet or Esmarch bandage. The outcome of the use of an Esmarch bandage for exsanguination and as a tourniquet in 112 consecutive patients who had elective orthopaedic operations on 131 limbs was evaluated. The setting was at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, from March 2003 to February 2005. The mean age of the patients was 25.7 + standard deviation years (range 1-70 years). The duration of tourniquet application ranged from 20 min to 2 h 35 min. Four limbs (3.1%) developed acute compartment syndrome; four (3.1%) had tourniquet paralysis with ulnar nerve involvement in three limbs. All limbs regained full neurological function following physiotherapy. There was wound infection in two limbs (1.5%). In spite of its drawbacks, the Esmarch bandage is still useful for exsanguination and as a tourniquet in orthopaedic surgery where there is no pneumatic tourniquet.


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