Local hypothermia to prolong safe tourniquet time

Local hypothermia was studied as a method to safely prolong tourniquet time for reconstructive procedures of the upper extremity. An ice blanket constructed of flannel cloth and cold gel packs was applied to the limb for 45 minutes preoperatively. Seventy-eight patients were evaluated for complicati...

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Veröffentlicht in:Clinical orthopaedics and related research 1991-03, Vol.264 (264), p.200-208
Hauptverfasser: SWANSON, A. B, LIVENGOOD, L. C, SATTEL, A. B
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container_end_page 208
container_issue 264
container_start_page 200
container_title Clinical orthopaedics and related research
container_volume 264
creator SWANSON, A. B
LIVENGOOD, L. C
SATTEL, A. B
description Local hypothermia was studied as a method to safely prolong tourniquet time for reconstructive procedures of the upper extremity. An ice blanket constructed of flannel cloth and cold gel packs was applied to the limb for 45 minutes preoperatively. Seventy-eight patients were evaluated for complications resulting from hypothermia and prolonged tourniquet application. The duration of continuous tourniquet ischemia averaged two hours and 25 minutes. Intraoperative muscle temperature recordings indicated that the iced limbs were an average of 12.9 degrees cooler than noniced limbs before tourniquet inflation. Electron microscopic studies of biopsied muscle showed no evidence of ischemic changes. There were no postoperative complications associated with prolonged tourniquet inflation or the hypothermia blanket technique. Local hypothermia appears to be a safe and effective method of decreasing the adverse effects of tourniquet ischemia and allowing continuous tourniquet inflation time to extend safely beyond the customary two-hour limit.
doi_str_mv 10.1097/00003086-199103000-00023
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There were no postoperative complications associated with prolonged tourniquet inflation or the hypothermia blanket technique. 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subjects Adult
Aged
Arm - blood supply
Biological and medical sciences
Humans
Hypothermia, Induced
Ischemia - etiology
Ischemia - prevention & control
Medical sciences
Middle Aged
Muscles - blood supply
Muscles - injuries
Muscles - pathology
Orthopedic surgery
Postoperative Complications - prevention & control
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tourniquets
title Local hypothermia to prolong safe tourniquet time
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