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| http://dx.doi.org/10.1172/JCI101159 | DOI Listing |
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Is the Use of Tourniquets More Advantageous than Other Bleeding Control Techniques in Patients with Limb Hemorrhage? A Systematic Review and Meta-Analysis.
Medicina (Kaunas)
January 2025
Department of Surgery, General Surgery, Sapienza University of Rome, 00185 Roma, Italy.
Trauma, particularly uncontrolled bleeding, is a major cause of death. Recent evidence-based guidelines recommend the use of a tourniquet when life-threating limb bleeding cannot be controlled with direct pressure. Prehospital hemorrhage management, according to the XABCDE protocol, emphasizes the critical role of tourniquets in controlling massive bleeding.
View Article and Find Full Text PDFIncreasing prehospital tourniquet use attributed to non-indicated use: an 11-year retrospective study.
Eur J Trauma Emerg Surg
January 2025
Department of Traumatology, John Hunter Hospital, Newcastle, NSW, 2310, Australia.
Purpose: The use of prehospital tourniquets (PHTQ) for haemorrhage control in the civilian trauma population has increased over the past decade with some reports documenting the overuse of the device. The aim of this study was to identify the proportion of PHTQ use that is non-indicated and determine how this proportion is changing over time.
Methods: An 11-year retrospective study was performed at a Level-1 Trauma Centre on all trauma patients admitted with a PHTQ.
Factors influencing forearm swelling after transradial artery intervention and establishment of a predictive model: a prospective study.
Eur J Cardiovasc Nurs
January 2025
Department of cardiovascular medicine, Peking University Third Hospital, 100080 Beijing, China.
Aims: Forearm swelling is a common complication following transradial artery interventions. Identifying the factors that influence this swelling and developing predictive models for it are crucial yet underexplored issues. This study was performed to investigate the risk factors for forearm swelling after transradial artery puncture and construct a predictive model.
View Article and Find Full Text PDFAppropriate tourniquet use in surgery: A literature review.
J Perioper Pract
January 2025
Department of Orthopaedics, St Vincent's Hospital, Melbourne, Fitzroy, VIC, Australia.
Background: Tourniquet use is ubiquitous in the operating theatre. However, optimal tourniquet usage is unclear, including type, pressure, inflation time, or whether a tourniquet should be used at all. This study reports a literature review of tourniquet use, comparing type, pressure, duration, effectiveness, and the spectrum of complications in an adult surgical population.
View Article and Find Full Text PDFComparing different timings of tourniquet application in total knee arthroplasty: effects on postoperative pain and bone cement interface.
J Orthop Surg Res
January 2025
Department of Orthopaedics, FuyangHospital of Anhui Medical University, Fuyang, Anhui, China.
Objective: This study aims to elucidate the impact of varying tourniquet application timings on postoperative pain and the bone cement interface following TKA.
Method: Patients who underwent TKA in our department between March 2021 and July 2023 were included in this study. They were randomly assigned to three groups: Group 1 used tourniquets throughout the operation, Group 2 applied tourniquets before the osteotomy, and Group 3 applied tourniquets after completing the osteotomy.
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