What is it about?
Tourniquets are routinely applied in orthopedic extremity surgery due to their advantages. In particular, the increase in carbon dioxide (CO2), due to the ischemic metabolic products released during the reperfusion period after the tourniquet is deflated in patients with head trauma and multiple extremity trauma, is significant in ICP. The aim of this study was to determine whether an early increase in intracranial pressure (ICP) following the deflation of a tourniquet is related to the tourniquet application time (TAT) or tourniquet pressure (TP) and to identify a safe cut-off value for TAT or TP.
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Why is it important?
The ICP increase in the early period after tourniquet deflation was well correlation with TAT but not with TP. The TAT of ≥67.5 minutes was found to be the cut-off value, which is considered the start point of the increase in ICP after tourniquet deflation.
Perspectives
Writing this article was a great pleasure as it has co-authors with whom I have had long standing collaborations.
Ahmet Besir
Karadeniz Teknik Universitesi
Read the Original
This page is a summary of: Does Tourniquet Time or Pressure Contribute to Intracranial Pressure Increase Following Tourniquet Application?, Medical Principles and Practice, November 2018, Karger Publishers,
DOI: 10.1159/000495110.
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