naa a22 4500 510740634 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-012-0880-z doi (NATIONALLICENCE)springer-10.1007/s11845-012-0880-z A survey of upper and lower limb tourniquet use among Irish orthopaedic surgeons [Elektronische Daten] [L. Cunningham, T. McCarthy, J. O'Byrne] Background: Tourniquet use in orthopaedic surgery is common practice. However, the technique varies among Irish orthopaedic surgeons and there are no standard guidelines. Aim: To analyse trends in tourniquet use among Irish orthopaedic surgeons. Methods: Ninety-two Irish orthopaedic consultants were sent a 15-survey question about tourniquet use by post. Results: Sixty respondents returned a completed survey, of which 49 (81% of respondents) used both upper arm and thigh tourniquets. A variation in tourniquet pressure settings and techniques used was reported. Thirty-nine surgeons (65% of respondents) use a tourniquet pressure range of 201-250mmHg for the upper arm and 30 surgeons (50% of respondents) use a range of 251-300mmHg for the thigh. Thirty-six surgeons (60% of respondents) experienced a complication secondary to tourniquet use, the most common complications being nerve and skin injury. Conclusions: Based on published studies of limb occlusion pressures, this study suggests that some of the tourniquet cuff inflation pressures used may be higher than necessary. Guidelines for optimising cuff pressure and technique should be established to minimise the risk of complications. This study may help determine direction for future research on tourniquet use. Royal Academy of Medicine in Ireland, 2013 Survey nationallicence Tourniquet nationallicence Orthopaedics nationallicence Complications nationallicence Cunningham L. Department of Trauma and Orthopaedic Surgery, Royal College of Surgeons in Ireland, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland aut McCarthy T. Department of Orthopaedic Surgery, Sports Surgery Clinic, Santry, Dublin 9, Ireland aut O'Byrne J. Department of Trauma and Orthopaedic Surgery, Royal College of Surgeons in Ireland, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 325-330 0021-1265 182:3<325 2013 182 11845 https://doi.org/10.1007/s11845-012-0880-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0880-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cunningham L. Department of Trauma and Orthopaedic Surgery, Royal College of Surgeons in Ireland, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland aut NATIONALLICENCE 700 1- McCarthy T. Department of Orthopaedic Surgery, Sports Surgery Clinic, Santry, Dublin 9, Ireland aut NATIONALLICENCE 700 1- O'Byrne J. Department of Trauma and Orthopaedic Surgery, Royal College of Surgeons in Ireland, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 325-330 0021-1265 182:3<325 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer