BibTex RIS Cite

Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures

Year 2016, Volume: 50 Issue: 2, 171 - , 11.03.2016

Abstract

Objective: The effectiveness of the arterial occlusion pressure (AOP) estimation method to set tourniquet inflation pressures was assessed in patients undergoing lower limb surgery.
Methods: One hundred ninety-eight operations were performed in 224 lower extremities of 193 patients. Tourniquet inflation pressures were set using the AOP estimation formula and adding 20 mmHg of safety margin to AOP value. Primary outcome measures were the amount of tourniquet pressure and its effectiveness. The quality of the surgical field and complications were assessed by the surgical team in a blinded fashion. Secondary measures included the time required to set the tourniquet pressure and complications.
Results: The initial and maximal tourniquet pressures used were 168.4±14.5 and 173.3±15.6 mmHg, respectively. The performance of the tourniquets was assessed as “excellent” and “good” in all stages of the procedure in 97.76% of cases. The time required to measure AOP and set the tourniquet cuff pressure was 19.0±2.6 sec. No complications occurred during or after surgery until discharge.
Conclusion: Clinical utilization of the AOP estimation formula is a practical and effective way of setting tourniquet pressures for lower limb surgery. Its usage allows achievement of a bloodless field with inflation pressures lower than those previously recommended in the literature for lower limb tourniquets.

Year 2016, Volume: 50 Issue: 2, 171 - , 11.03.2016

Abstract

There are 0 citations in total.

Details

Primary Language English
Journal Section Original Article
Authors

Bahattin Tuncali This is me

Hakan Boya

Zeynep Kayhan This is me

Sukru Arac This is me

Mehmet Ali Camurdan This is me

Publication Date March 11, 2016
Published in Issue Year 2016 Volume: 50 Issue: 2

Cite

APA Tuncali, B., Boya, H., Kayhan, Z., Arac, S., et al. (2016). Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica Et Traumatologica Turcica, 50(2), 171.
AMA Tuncali B, Boya H, Kayhan Z, Arac S, Camurdan MA. Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica et Traumatologica Turcica. March 2016;50(2):171.
Chicago Tuncali, Bahattin, Hakan Boya, Zeynep Kayhan, Sukru Arac, and Mehmet Ali Camurdan. “Clinical Utilization of Arterial Occlusion Pressure Estimation Method in Lower Limb Surgery: Effectiveness of Tourniquet Pressures”. Acta Orthopaedica Et Traumatologica Turcica 50, no. 2 (March 2016): 171.
EndNote Tuncali B, Boya H, Kayhan Z, Arac S, Camurdan MA (March 1, 2016) Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica et Traumatologica Turcica 50 2 171.
IEEE B. Tuncali, H. Boya, Z. Kayhan, S. Arac, and M. A. Camurdan, “Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures”, Acta Orthopaedica et Traumatologica Turcica, vol. 50, no. 2, p. 171, 2016.
ISNAD Tuncali, Bahattin et al. “Clinical Utilization of Arterial Occlusion Pressure Estimation Method in Lower Limb Surgery: Effectiveness of Tourniquet Pressures”. Acta Orthopaedica et Traumatologica Turcica 50/2 (March 2016), 171.
JAMA Tuncali B, Boya H, Kayhan Z, Arac S, Camurdan MA. Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica et Traumatologica Turcica. 2016;50:171.
MLA Tuncali, Bahattin et al. “Clinical Utilization of Arterial Occlusion Pressure Estimation Method in Lower Limb Surgery: Effectiveness of Tourniquet Pressures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 50, no. 2, 2016, p. 171.
Vancouver Tuncali B, Boya H, Kayhan Z, Arac S, Camurdan MA. Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica et Traumatologica Turcica. 2016;50(2):171.