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Tourniquet application during anesthesia: "What we need to know?"
Kamal Kumar1, Craig Railton1, Qutaiba Tawfic1
1Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine, Western University, London Health Sciences, Victoria Hospital, London, Ontario, Canada.
Journal of Anaesthesiology, Clinical Pharmacology
|January 19, 2017
Summary
Tourniquets are safe for limb surgeries, but can alter physiology. Patients with poor cardiac function may experience adverse effects from these physiological changes.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
- Physiology
Background:
- Tourniquets are commonly used in limb surgeries worldwide.
- Tourniquet application induces physiological changes.
- These changes are generally well-tolerated by healthy individuals.
Approach:
- Systematic literature search of PubMed, MEDLINE, ScienceDirect, and Google Scholar.
- Included randomized controlled trials and systematic reviews.
- Summarized findings on tourniquet use, physiological effects, and safe practices.
Key Points:
- Tourniquet use alters normal physiology.
- Patients with compromised cardiac function may not tolerate these changes well.
- Review provides updates on safe tourniquet practices.
Conclusions:
- Tourniquet use requires careful consideration in patients with poor cardiac function.
- Understanding physiological alterations is crucial for safe application.
- Evidence-based review guides current tourniquet practices.
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