• A&A practice · May 2021

    Case Reports

    Transient Neurological Dysfunction and Intracranial Hypertension After Tourniquet Deflation in a Patient With a Head Injury: A Case Report.

    • Ankur Khandelwal, Aarti Srivastava, Sudhansu Sekhar Nayak, Sameer Prabhakar, and Shweta Sinha.
    • From the Department of Anaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, India.
    • A A Pract. 2021 May 27; 15 (6): e01486.

    AbstractA tourniquet is used during surgery to produce a bloodless surgical field and decrease intraoperative blood loss. Although useful, tourniquets are associated with various physiological alterations both during inflation and deflation phases which may be poorly tolerated in compromised patients. We report a case of transient neurological dysfunction and intracranial hypertension after tourniquet deflation in a 15-year-old patient with a head injury. Intracranial hypertension under general anesthesia was diagnosed based on bradyarrhythmia and elevated ultrasonographic optic nerve sheath diameter as compared to preoperative values.Copyright © 2021 International Anesthesia Research Society.

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