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Evaluation of blood evacuation efficiency using 99m Tc-RBC imaging: a comparative study of exsanguination tourniquet rings and Esmarch bandages.
Nucl Med Commun
November 2024
Department of Orthopedics, Cixi People Hospital Medical Health Group (Cixi People Hospital), Zhejiang, China.
Objective: The objective of this study is to compare the effectiveness of the Esmarch bandage and exsanguination tourniquet rings (ETRs) in blood evacuation procedures using a controlled intra-subject design involving healthy volunteers.
Methods: A total of 20 healthy adult volunteers (12 males, 8 females) were recruited from the community. Participants underwent blood evacuation procedures on both legs, using the Esmarch bandage on one leg and the ETR on the other.
Comparison of exsanguination and hemostasis devices for Limb surgery: a multicenter randomized controlled study.
BMC Musculoskelet Disord
August 2024
Department of Orthopedics, Cixi People Hospital Medical Health Group (Cixi People Hospital), Zhejiang, 315300, China.
Background: Excessive intraoperative bleeding remains a challenge in limb surgeries. The exsanguination tourniquet ring has emerged as a potential solution for effective exsanguination and hemostasis. This study aims to evaluate its efficacy and safety compared to the conventional exsanguination and hemostasis approach (pneumatic tourniquet combined with Esmarch bandage).
View Article and Find Full Text PDFUse of Esmarch bandage does not increase peripheral vein size in healthy volunteers: A randomized clinical trial.
Am J Emerg Med
September 2024
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States of America. Electronic address:
Introduction: Ultrasound is used for peripheral intravenous (PIV) cannulation in patients with difficult landmark-guided IV access in the Emergency Department. Distal-to-proximal application of an Esmarch bandage on the target limb has been suggested as a method for increasing vein size and ease of cannulation.
Methods: This study was a single-blinded crossover randomized controlled trial comparing basilic vein size under ultrasound with use of an Esmarch bandage in addition to standard IV tourniquet ("tourniquet + Esmarch") compared to use of a standard IV tourniquet alone.
Randomised controlled trial of tourniquet associated pain generated in lower limb after exsanguination by Esmarch bandage versus limb elevation.
J Orthop Surg Res
May 2024
Cairns Base Hospital Orthopaedic Department, Cairns, Australia.
Background: Tourniquets are common adjuncts in the operating theatre but can be associated with post-operative pain. This study was designed to compare what effect pre-tourniquet Esmarch bandage exsanguination has on pain, compared to pre-tourniquet exsanguination by elevation alone.
Methods: 52 volunteers (104 lower limbs) were included in this study with each volunteer acting as their own matched control.
Background: In recent years, the endovenous technique has been presented as a good alternative to surgery in the treatment of patients with lower extremity varicose veins. However, its effectiveness in very advanced saphenous vein diameters is controversial. In this study, we investigated the results of an endovenous glue ablation closure system applied with an esmarch bandage in saphenous veins with very large diameters.
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