• Anaesthesia · Jun 2001

    Review

    The arterial tourniquet: pathophysiological consequences and anaesthetic implications.

    • P C Kam, R Kavanagh, F F Yoong, and R Kavanaugh.
    • Department of Anaesthesia and Pain Management, University of Sydney at the Royal North Shore Hospital, St Leonards, NSW 2065, Australia. pkam@med.usyd.edu.au
    • Anaesthesia. 2001 Jun 1;56(6):534-45.

    AbstractThe arterial tourniquet is widely used in upper and lower extremity surgery and in intravenous regional anaesthesia. The local and systemic physiological effects and the anaesthetic implications are reviewed. Localised complications result from either tissue compression beneath the cuff or tissue ischaemia distal to the tourniquet. Systemic effects are related to the inflation or deflation of the tourniquet. Safe working guidelines for the application of an arterial tourniquet have not been clearly defined.

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