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

@article{Norman2009UseOA,
  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},
  year={2009},
  volume={13},
  pages={173-175}
}
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.
TLDR
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
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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
TLDR
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
TLDR
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.
TLDR
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
TLDR
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
TLDR
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.

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