Esmarch tourniquet in orthopaedic surgery
| Autor: | AL Akinyoola, L M Oginni, Elkanah Ayodele Orimolade, O J Ogundele |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Esmarch bandage
Adult Male medicine.medical_specialty Adolescent Nigeria Pneumatic tourniquet medicine.artery medicine Paralysis Humans Orthopedic Procedures Ulnar nerve Child Hospitals Teaching Aged Tourniquet business.industry Public Health Environmental and Occupational Health Infant Middle Aged Tourniquets equipment and supplies Surgery body regions surgical procedures operative Infectious Diseases Elective Surgical Procedures Anesthesia Child Preschool Orthopedic surgery Female University teaching medicine.symptom Radial Neuropathy Elective Surgical Procedure business Ulnar Neuropathies |
| Zdroj: | Tropical doctor. 37(3) |
| ISSN: | 0049-4755 |
| Popis: | A bloodless field is important in many orthopaedic operations necessitating the use of a pneumatic tourniquet or Esmarch bandage. The outcome of the use of an Esmarch bandage for exsanguination and as a tourniquet in 112 consecutive patients who had elective orthopaedic operations on 131 limbs was evaluated. The setting was at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, from March 2003 to February 2005. The mean age of the patients was 25.7 + standard deviation years (range 1-70 years). The duration of tourniquet application ranged from 20 min to 2 h 35 min. Four limbs (3.1%) developed acute compartment syndrome; four (3.1%) had tourniquet paralysis with ulnar nerve involvement in three limbs. All limbs regained full neurological function following physiotherapy. There was wound infection in two limbs (1.5%). In spite of its drawbacks, the Esmarch bandage is still useful for exsanguination and as a tourniquet in orthopaedic surgery where there is no pneumatic tourniquet. |
| Databáze: | OpenAIRE |
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