A New Tourniquet System that Determines Pressures in Synchrony With Systolic Blood Pressure in Total Knee Arthroplasty

Journal of Arthroplasty

Volumn 23, Issue 7, 2008, Pages 1050-1056

  Ishii, Yoshinori ^a   Noguchi, Hideo ^a   Matsuda, Yoshikazu ^a   Takeda, Mitsuhiro ^a   Higashihara, To ichi ^a,b  

^a Ishii Orthopaedic and Rehabilitation Clinic   (Japan)

^b Mizuho Ika CC   (Japan)

Author keywords

systolic blood pressure; total knee arthroplasty; tourniquet

Indexed keywords

ADULT; AGED; ARTICLE; BLEEDING; CLINICAL ARTICLE; FEMALE; HUMAN; KNEE OSTEOARTHRITIS; MALE; PERIOPERATIVE COMPLICATION; PRESSURE; RHEUMATOID ARTHRITIS; SYSTOLIC BLOOD PRESSURE; TOTAL KNEE REPLACEMENT; TOURNIQUET;

AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, KNEE; BLOOD LOSS, SURGICAL; BLOOD PRESSURE; FEMALE; HEMOSTASIS, SURGICAL; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SYSTOLE; TOURNIQUETS;

EID: 52049114967     PISSN: 08835403     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.arth.2007.08.012     Document Type: Article

References (36)

1. Abdel-Salam A., and Eyres K.S. Effects of tourniquet during total knee arthroplasty. A prospective randomized study. J Bone Joint Surg Br 77 (1995) 250
2. Iorio R., and Healy W.L. Tourniquet use during total knee arthroplasty did not reduce total blood loss. J Bone Joint Surg Am 83 (2001) 1282
3. Jarolem K.L., Scott D.F., Jaffe W.L., et al. A comparison of blood loss and transfusion requirements in total knee arthroplasty with and without arterial tourniquet. Am J Orthop 24 (1995) 906
4. Vandenbussche E., Duranthon L.D., Couturier M., et al. Int Orthop 26 (2002) 306
5. Wauke K., Nagashima M., Kato N., et al. Comparative study between thromboembolism and total knee arthroplasty with and without tourniquet in rheumatoid arthritis patients. Arch Orthop Trauma Surg 122 (2002) 442
6. Graham B., Breault M.J., McEwen J.A., et al. Occlusion of arterial flow in the extremities at subsystolic pressures through the use of wide tourniquet cuffs. Clin Orthop Relat Res 286 (1993) 257
7. Moore M.R., Grafin S.R., and Hargens A.R. Wide tourniquets eliminate blood flow at low inflation pressures. J Hand Surg Am 12 (1987) 1006
8. Muirhead A., and Newman R.J. A low-pressure tourniquet system for the lower limb. Injury 17 (1986) 53
9. Neimkin R.J., and Smith R.J. Double tourniquet with linked mercury manometers for hand surgery. J Hand Surg Am 8 (1983) 938
10. Newman R.J., and Muirhead A. A safe and effective low-pressure tourniquet: a prospective evaluation. J Bone Joint Surg Br 68 (1986) 625
11. Pauers R.S., and Carocci M.A. Low pressure pneumatic tourniquets: effectiveness at minimum recommended inflation pressures. J Foot Ankle Surg 33 (1994) 605
12. Tuncali B., Karci A., Bacakoglu A.K., et al. Controlled hypotension and minimal inflation pressure: a new approach for pneumatic tourniquet application in upper limb surgery. Anesth Analg 97 (2003) 1529
13. Younger A.S., McEwen J.A., and Inkpen K. Wide countered thigh cuffs and automated limb occlusion measurement allow lower tourniquet pressures. Clin Orthop Relat Res 428 (2004) 286
14. Ishii Y., and Matsuda Y. Effect of tourniquet pressure on perioperative blood loss associated with cementless total knee arthroplasty: a prospective, randomized study. J Arthroplasty 20 (2005) 325
15. Worland R.L., Arrendondo J., Angeles F., et al. Thigh pain following tourniquet application in simultaneous bilateral total knee replacement arthroplasty. J Arthroplasty 12 (1997) 848
16. Matsuda Y., and Ishii Y. In vivo laxity of low contact stress mobile-bearing prostheses. Clin Orthop 419 (2004) 138
17. Gross J.B. Estimating allowable blood loss: corrected for dilution. Anesthesiology 58 (1983) 277
18. Parmet J.L., Horrow J.C., and Berman A.T. The incidence of large venous emboli during total knee arthroplasty without tourniquet use. Anesth Analg 87 (1998) 439
19. Cheng Y.J., Wang Y.P., Chien C.T., et al. Small-dose propofol sedation attenuates the formation of reactive oxygen species in tourniquet-induced ischaemia-reperfusion injury under spinal anesthesia. Anesth Analg 94 (2002) 1617
20. Lefer A.M., and Lefer D.J. The role of nitric oxide and cell adhesion molecules on the microcirculation in ischaemia-reperfusion. Cardiovasc Res 32 (1996) 723
21. Oxman T., Arad M., Klein R., et al. Limb ischaemia preconditions the heart against reperfusion tachyarrhythmia. Am J Physiol 273 (1997) 1707
22. Manen B.F., Novellas C.M., Angles C.M., et al. Effect of ischemic tourniquet pressure on the intensity of postoperative pain. Rev Esp Anestesiol Reanim 49 (2002) 131
23. Adalberth G., Byström S., Kolstad K., et al. Postoperative drainage of knee arthroplasty is not necessary. Acta Orthop Scand 69 (1998) 475
24. Bould M., Freeman B.J.C., Pullyblank A., et al. Blood loss in sequential bilateral total knee arthroplasty. J Arthroplasty 13 (1998) 77
25. Burkart B.C., Bourne R.B., Rorabeck C.H., et al. The efficacy of tourniquet release in blood conservation after total knee arthroplasty. Clin Orthop 299 (1994) 147
26. Hiippala S.T., Strid L.J., Wennerstrand M.I., et al. Tranexamic acid radically decreases blood loss and transfusions associated with total knee arthroplasty. Anesth Analg 84 (1997) 839
27. Marson B.M., and Tokish J.T. The effect of a tourniquet on intraoperative patellofemoral tracking during total knee arthroplasty. J Arthroplasty 14 (1999) 197
28. Mylod Jr. A.G., France M.P., Muser D.E., et al. Perioperative blood loss associated with total knee arthroplasty. J Bone Joint Surg Am 72 (1990) 1010
29. Barwell N.J., Anderson G.A., Hassan A., et al. The effects of early tourniquet releasing during total knee arthroplasty. J Bone Joint Surg Br 79 (1997) 265
30. Reid H.S., Camp R.A., and Jacob W.H. Tourniquet hemostasis. A clinical study. Clin Orthop 177 (1983) 230
31. Ishii Y., and Matsuda Y. Perioperative blood loss in cementless or hybrid total knee arthroplasty without patellar resurfacing: a prospective, randomized study. J Arthroplasty 20 (2005) 972
32. Lotke P.A., Faralli V.J., Orenstein E.M., et al. Blood loss after total knee replacement. Effects of tourniquet release and continuous passive motion. J Bone Joint Surg Am 73 (1991) 1037
33. Wittmann F.W., and Ring P.A. Blood loss associated with ring uncemented total knee replacement: comparison between continuous and intermittent suction drainage. J R Soc Med 77 (1984) 556
34. Cushner F.D., and Friedman R.J. Blood loss in total knee arthroplasty. Clin Orthop 269 (1991) 98
35. Keating E.M., and Ritter M.A. Transfusion options in total joint arthroplasty. J Arthroplasty 1 (2002) 125
36. Odinsson A., and Finsen V. Tourniquet use and its complications in Norway. J Bone Joint Surg Br 88 (2006) 1090