AI Article Synopsis
- The study reviewed medical records of 506 patients undergoing total knee arthroplasty between 2017 and 2020, focusing on the effects of tourniquet use on surgical outcomes.
- The research compared two different tourniquet techniques: one with continuous inflation at 300 mmHg and another using a two-stage inflation-deflation process.
- Results showed that both techniques had similar outcomes regarding blood loss, blood pressure management, and opioid usage post-surgery, indicating that the two-stage technique did not lead to reduced total blood loss.
Article Abstract
Tourniquet use during total knee arthroplasty improves the surgical field, but is associated with several complications. The medical records of 506 patients who underwent elective total knee arthroplasty or total knee replacement from January 2017 to December 2020 were reviewed. A total of 331 patients who had undergone total knee arthroplasty were included. In the first half course group, the tourniquet was inflated with a pressure of 300 mmHg after manual banding before the incision and deflated after cement insertion. In the two-stage group, the tourniquet was inflated and deflated at the same stages of the procedure as in the first half course group. However, in this second group, the tourniquet was deflated for 15 min and then inflated again, and, finally, it was deflated after skin closure. The estimated blood loss, the number of patients who needed medications to control their blood pressure, and opioid usage at the post-anesthesia care unit were similar in both groups. The two-stage tourniquet technique was not related to reduced total blood loss in total knee arthroplasty.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953837 | PMC |
| http://dx.doi.org/10.3390/jcm11061682 | DOI Listing |
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