Anesthetic, patient, and surgical risk factors for neurologic complications after prolonged total tourniquet time during total knee arthroplasty.

@article{Horlocker2006AnestheticPA,
  title={Anesthetic, patient, and surgical risk factors for neurologic complications after prolonged total tourniquet time during total knee arthroplasty.},
  author={Terese T. Horlocker and James R. Hebl and Bhargavi Gali and Christopher J. Jankowski and Christopher M Burkle and Daniel J. Berry and Fernando A Zepeda and Susanna R. Stevens and Darrell R. Schroeder},
  journal={Anesthesia and analgesia},
  year={2006},
  volume={102 3},
  pages={950-5}
}
Nerve injury after prolonged tourniquet inflation results from the combined effects of ischemia and mechanical trauma. Tourniquet release, allowing a reperfusion interval of 10-30 min followed by re-inflation, has been recommended to extend the duration of total tourniquet time. However, this practice has not been confirmed clinically. We retrospectively reviewed the medical records of 1001 patients undergoing 1166 primary or revision knee replacements with tourniquet time more than 120 min… CONTINUE READING

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