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 |
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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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B ; LIVENGOOD, L. C ; SATTEL, A. B</creator><creatorcontrib>SWANSON, A. B ; LIVENGOOD, L. C ; SATTEL, A. B</creatorcontrib><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.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1097/00003086-199103000-00023</identifier><identifier>PMID: 1997237</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>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</subject><ispartof>Clinical orthopaedics and related research, 1991-03, Vol.264 (264), p.200-208</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-32402ed0e1e7c4d215eed7dc45eb47e9b050fc7602355be2e46e62e17198d8bd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5389794$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1997237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SWANSON, A. B</creatorcontrib><creatorcontrib>LIVENGOOD, L. C</creatorcontrib><creatorcontrib>SATTEL, A. B</creatorcontrib><title>Local hypothermia to prolong safe tourniquet time</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Arm - blood supply</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Hypothermia, Induced</subject><subject>Ischemia - etiology</subject><subject>Ischemia - prevention & control</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscles - blood supply</subject><subject>Muscles - injuries</subject><subject>Muscles - pathology</subject><subject>Orthopedic surgery</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tourniquets</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMo67r6E4QexFs1k4-mOcriFyx4UfAW0nTqVtpmTdqD_96su66BIZOZ980MDyEZ0BugWt3SdDgtixy0hpRRmqdg_IjMQbIyB-DsmMxTTeeawfspOYvxc2sSks3ILNkU42pOYOWd7bL198aPawx9a7PRZ5vgOz98ZNE2mN5TGNqvCcdsbHs8JyeN7SJe7O8FeXu4f10-5auXx-fl3Sp3gosx50xQhjVFQOVEzUAi1qp2QmIlFOqKSto4VaSlpayQoSiwYAgKdFmXVc0X5Hr3b1omDY-j6dvosOvsgH6KpqRCCsEhCcud0AUfY8DGbELb2_BtgJotLfNHyxxomV9ayXq5nzFVPdb_xh2e1L_a921MmJpgB9fGg0zyUist-A-2RnET</recordid><startdate>19910301</startdate><enddate>19910301</enddate><creator>SWANSON, A. B</creator><creator>LIVENGOOD, L. C</creator><creator>SATTEL, A. B</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19910301</creationdate><title>Local hypothermia to prolong safe tourniquet time</title><author>SWANSON, A. B ; LIVENGOOD, L. C ; SATTEL, A. B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-32402ed0e1e7c4d215eed7dc45eb47e9b050fc7602355be2e46e62e17198d8bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arm - blood supply</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Hypothermia, Induced</topic><topic>Ischemia - etiology</topic><topic>Ischemia - prevention & control</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscles - blood supply</topic><topic>Muscles - injuries</topic><topic>Muscles - pathology</topic><topic>Orthopedic surgery</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tourniquets</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SWANSON, A. B</creatorcontrib><creatorcontrib>LIVENGOOD, L. C</creatorcontrib><creatorcontrib>SATTEL, A. B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SWANSON, A. B</au><au>LIVENGOOD, L. C</au><au>SATTEL, A. B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Local hypothermia to prolong safe tourniquet time</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1991-03-01</date><risdate>1991</risdate><volume>264</volume><issue>264</issue><spage>200</spage><epage>208</epage><pages>200-208</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>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.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>1997237</pmid><doi>10.1097/00003086-199103000-00023</doi><tpages>9</tpages></addata></record> |
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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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