Use of a New Exsanguination Tourniquet in Internal Fixation of Distal Radius Fractures

  title={Use of a New Exsanguination Tourniquet in Internal Fixation of Distal Radius Fractures},
  author={Doron Norman and Inbal Greenfield and Nabil Ghrayeb and Eli Peled and Lior Dayan},
  journal={Techniques in Hand \& Upper Extremity Surgery},
We describe our experience using a new device that results in a bloodless field in open repair of distal radius fractures. The device, an exsanguinating tourniquet (HemaClear model/40, OHK Medical Devices, Haifa, Israel), replaces the traditional methods of limb elevation, Esmarch bandaging, pneumatic tourniquet pressurizing and the associated components. HemaClear/40 is an elastic silicon ring with a tubular elastic sleeve rolled onto it. The device has attached straps that, when pulled… 
Pulmonary Embolism After Application of a Sterile Elastic Exsanguination Tourniquet.
Careful consideration should be given to the use of HemaClear tourniquets in high-risk patients and those with traumatic injuries, especially when there has been a delay in surgery, because of the ease and speed of their application.
Silicone ring tourniquet versus pneumatic cuff tourniquet in carpal tunnel release: a randomized comparative study
In patients who underwent carpal tunnel release under local anesthesia, the pain levels at the end of the operation and those just before the removal of the tourniquet were higher in the PT group than in the SRT group of patients.
Evaluating Tourniquet Efficacy Comparing Exsanguination Techniques for the Upper Extremity
This study is the most robust of its kind to critically and objectively compare upper extremity exsanguination methods and overall tourniquet use by age and supports the common practice of Esmarch exsangination in orthopaedic extremity surgery.
A comparison of operative field space between sterile single use and re-useable pneumatic tourniquets in revision total knee arthroplasty
The operative field clearance between the two devices is assessed and it is recommended that sterile single use tourniquets are safe and are a useful tool for surgeons facilitating ease of revision knee surgery.
The Effect of the Silicone Ring Tourniquet and Standard Pneumatic Tourniquet on the Motor Nerve Conduction, Pain and Grip Strength in Healthy Volunteers.
Investigating the postoperative effect of the silicone ring tourniquet (SRT) in healthy volunteers found median nerve conduction was affected more after PT application as compared to the SRT, and the reduction of grip strength was higher after the S RT application.
Comparison of pain perceived when using pneumatic or silicone ring tourniquets for local anaesthetic procedures in the upper limb
The silicone ring tourniquet would not be suitable for local anaesthetic procedures in the upper limb due to the severe pain experienced on application, which may reduce the patients’ confidence and adversely affect their experience of the procedure.
Pain and paraesthesia produced by silicone ring and pneumatic tourniquets
When applied to the forearm, there was no statistically significant difference in pain scores between the two types of tourniquets, however the incidence of paraesthesia was again lower with the silicone ring tournique, which was associated with a significantly lower pain score.


A novel elastic exsanguination tourniquet as an alternative to the pneumatic cuff in pediatric orthopedic limb surgery
It is concluded that the surgical exsanguination tourniquet is safe and valuable in the practice and can be used in combination with the Esmarch bandage, pneumatic tournique and sterile stockinet.
Clinical Experiences With a New Tourniquet Device
Application of S-MART is practical, provides bloodless field for a certain time, and does not increase the complication rate related with the pressure applied to underlying tissues, but it is not a suitable tourniquet device for long surgical procedures.
Exsanguination of the upper limb in healthy young volunteers.
The squeeze method was found to be the best method of exsanguination before inflation of a tourniquet, because it is effective, fast, practical and inexpensive.
Exsanguination of the limbs in elderly volunteers
In both upper and lower limbs, Esmarch bandage was significantly more effective than elevation, and changes in blood volume were evaluated using a scintigraphic technique based on an autologous injection of 99 mTc-labelled erythrocytes.
Scintigraphic method for evaluating reductions in local blood volumes in human extremities.
  • L. Blønd, J. Madsen
  • Medicine
    Scandinavian journal of clinical and laboratory investigation
  • 2000
The method is precise and can be used in investigating physiologic and pathophysiologic mechanisms in relation to blood volumes of limbs not subject to research previously.
Safety of using a novel device for creating a bloodless surgical field in pediatric limb fractures. EFFORT -JOINT EFFORTS, 9th EFFORT congress
  • ?posterId = 2373&searchTerm = &category = 11. e-Poster Abstract
Safety of using a novel device for creating a bloodless surgical field in pediatric limb fractures
  • EFFORT – JOINT EFFORTS, 9th EFFORT congress, Nice, France,
  • 2008