The arterial tourniquet: pathophysiological consequences and anaesthetic implications

The 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 is...

Full description

Saved in:
Bibliographic Details
Published in:Anaesthesia 2001-06, Vol.56 (6), p.534-545
Main Authors: Kam, P. C. A., Kavanaugh, R., Yoong, F. F. Y.
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia, Conduction - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Coagulation
Equipment: tourniquets
Hemodynamics
Hemostasis, Surgical - methods
Humans
Medical sciences
Miscellaneous
Muscle, Skeletal - injuries
Peripheral Nervous System - injuries
Tourniquets - adverse effects
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The 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.
ISSN:0003-2409
1365-2044
DOI:10.1046/j.1365-2044.2001.01982.x