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

Araç, S. Şükrü; Kayhan, Zeynep; ÇAMURDAN, Mehmet Ali Koray; Boya, Hakan; Tuncali, Bahattin

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

Bahattin TUNCALI, (Başkent Üniversitesi Zübeyde Hanım Uygulama ve Araştırma Merkezi, Aneteziyoloji ve Reanimasyon Kliniği, İzmir, Türkiye)

Hakan BOYA, (Başkent Üniversitesi, Zübeyde Hanım Uygulama ve Araştırma Merkezi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye)

Zeynep KAYHAN, (Başkent Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Şükrü ARAÇ, (Başkent Üniversitesi, Zübeyde Hanım Uygulama ve Araştırma Merkezi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye)

Mehmet Ali Koray ÇAMURDAN (Başkent Üniversitesi, Zübeyde Hanım Uygulama ve Araştırma Merkezi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

4 0

Yıl: 2016 Cilt: 50 Sayı: 2 Sayfa Aralığı: 171 - 177 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

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

Öz:

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

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Tuncali B, Boya H, Kayhan Z, Araç S, ÇAMURDAN M (2016). Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. , 171 - 177.
Chicago	Tuncali Bahattin,Boya Hakan,Kayhan Zeynep,Araç S. Şükrü,ÇAMURDAN Mehmet Ali Koray Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. (2016): 171 - 177.
MLA	Tuncali Bahattin,Boya Hakan,Kayhan Zeynep,Araç S. Şükrü,ÇAMURDAN Mehmet Ali Koray Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. , 2016, ss.171 - 177.
AMA	Tuncali B,Boya H,Kayhan Z,Araç S,ÇAMURDAN M Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. . 2016; 171 - 177.
Vancouver	Tuncali B,Boya H,Kayhan Z,Araç S,ÇAMURDAN M Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. . 2016; 171 - 177.
IEEE	Tuncali B,Boya H,Kayhan Z,Araç S,ÇAMURDAN M "Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures." , ss.171 - 177, 2016.
ISNAD	Tuncali, Bahattin vd. "Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures". (2016), 171-177.

APA	Tuncali B, Boya H, Kayhan Z, Araç S, ÇAMURDAN M (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 - 177.
Chicago	Tuncali Bahattin,Boya Hakan,Kayhan Zeynep,Araç S. Şükrü,ÇAMURDAN Mehmet Ali Koray Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures. Acta Orthopaedica et Traumatologica Turcica 50, no.2 (2016): 171 - 177.
MLA	Tuncali Bahattin,Boya Hakan,Kayhan Zeynep,Araç S. Şükrü,ÇAMURDAN Mehmet Ali Koray 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, ss.171 - 177.
AMA	Tuncali B,Boya H,Kayhan Z,Araç S,ÇAMURDAN M 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 - 177.
Vancouver	Tuncali B,Boya H,Kayhan Z,Araç S,ÇAMURDAN M 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 - 177.
IEEE	Tuncali B,Boya H,Kayhan Z,Araç S,ÇAMURDAN M "Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures." Acta Orthopaedica et Traumatologica Turcica, 50, ss.171 - 177, 2016.
ISNAD	Tuncali, Bahattin vd. "Clinical utilization of arterial occlusion pressure estimation method in lower limb surgery: effectiveness of tourniquet pressures". Acta Orthopaedica et Traumatologica Turcica 50/2 (2016), 171-177.