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Related Experiment Video

Updated: May 21, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Published on: April 1, 2022

Tourniquet use in upper limb surgery.

Emeka Oragui, Antony Parsons, Thomas White

    Hand (New York, N.Y.)
    |June 2, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Tourniquets are safe and effective for upper limb surgery when used correctly. Proper cuff pressure and understanding limb occlusion pressure minimize risks, making them beneficial for surgical conditions.

    Keywords:
    ComplicationsLimb occlusion pressureTourniquetUpper limb

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    Area of Science:

    • Orthopedics
    • Surgical Technology
    • Vascular Surgery

    Background:

    • Tourniquets are widely used in upper limb surgery to control blood flow.
    • Concerns exist regarding potential tourniquet-related complications.
    • Debate continues on the routine use of tourniquets.

    Purpose of the Study:

    • To review tourniquet designs, principles, and practical considerations for upper limb use.
    • To evaluate the evidence on tourniquet-related complications and risk reduction strategies.
    • To discuss special considerations for specific patient populations.

    Main Methods:

    • Literature review of tourniquet use in upper limb surgery.
    • Analysis of factors influencing tourniquet safety and efficacy.
    • Examination of evidence regarding complications and risk mitigation.

    Main Results:

    • Modern pneumatic tourniquets offer enhanced safety features.
    • Optimizing cuff inflation pressure based on limb occlusion pressure reduces complications.
    • Understanding soft tissue pressure, cuff width, and contour is crucial.
    • Tourniquet time, placement, and exsanguination evidence is discussed.
    • Complications include pain, leakage, and nerve, muscle, and skin injuries.
    • Special considerations for patients with diabetes, hypertension, and other conditions are addressed.

    Conclusions:

    • Upper limb tourniquets provide optimal surgical conditions with a low rate of adverse events.
    • Improved knowledge and technology continue to decrease complication incidence.
    • Tourniquet use is recommended in upper limb surgery unless contraindications exist.