• J Bone Joint Surg Am · Dec 2009

    Review Historical Article

    Surgical tourniquets in orthopaedics.

    • Shahryar Noordin, James A McEwen, John F Kragh, Andrew Eisen, and Bassam A Masri.
    • Section of Orthopaedics, Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan. shahryar.noordin@aku.edu
    • J Bone Joint Surg Am. 2009 Dec 1;91(12):2958-67.

    AbstractHigher levels of tourniquet pressure and higher pressure gradients beneath tourniquet cuffs are associated with a higher risk of nerve-related injury. Measurement of limb occlusion pressure can help to minimize tourniquet pressure levels and pressure gradients for individual patients and individual surgical procedures. Selective use of pneumatic, wider, and contoured tourniquet cuffs reduces tourniquet pressure levels and the applied pressure gradients.

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