7232019 Tourniquets in orthopedic surgerypdf
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
Ghfgkh D Crt`cp lt Dua-Kun 69(6)4 2gtgt‒202
fcg4 lt6lt2ltlt7-5627006
MBGF4 MB2676
Vcurhgquets gh crt`cpefgb surnery
Dkg rkoks` R`krmk khf Zks`mg Rka`ctrk
Fepkrtmeht ci Khest`esgcacny khf Brgtgbka Bkre Uhgversgty Bcaaene ci Mefgbka Rbgehbes khf NVJ cspgtka Fgas`kf Nkrfeh Uhgversgty ci
Fea`g Fea`g Ghfgk
Kffress icr bcrrespchfehbe4 Fr Zks`mg Rka`ctrk 02lt Igrst Iaccr R`kotg Hknkr Fea`g ‒ lt ltltgt Ghfgk E-mkga4
rks`mgb`kjrkLyk`ccbcm
Bcpyrgn`t 4 copy Ghfgkh Dcurhka ci Crt`cpkefgbs
V`gs gs kh cpeh-kbbess krtgbae fgstrgjutef uhfer t`e terms ci t`e Brektgve Bcmmchs Kttrgjutgch-Hchbcmmerbgka-R`kre Kagoe 2lt Uhpcrtef
w`gb` permgts uhrestrgbtef use fgstrgjutgch khf reprcfubtgch gh khy mefgum prcvgfef t`e crgnghka wcro gs prcperay bgtef
Kjstrkbt
Vcurhgquets kre bcmmchay usef gh agmj surnerges je gt crt`cpefgb cr pakstgb surnerges Jut t`e ghiaktgch
pressures t`e furktgch khf reaekse nugfeaghes kre stgaa hct baekr Kbbcrfghn tc k survey mkdcrgty ci
crt`cpefgb surnechs ghiakte t`e tcurhgquet tc igxef pressures icr t`e upper khf t`e acwer agmjs wgt`cut
bchsgferghn t`e jkseaghe jaccf pressure ci t`e pktgeht ch w`cm t`e tcurhgquets kre jeghn kppagef V`gs
revgew wks fesgnhef tc rebkaa khf revgew t`e skie use ci tcurhgquets khf t`e vkrgcus teb`hgques t`kt bkh je
empacyef tc mghgmgze t`e bcmpagbktgchs ci tcurhgquet use Nccnae sbgehbe fgrebt khf pujmef were
sekrb`ef icr kpprcprgkte agterkture khf reaevkht krtgbaes were gfehtgigef
Oeywcrfs4 Vcurhgquet crt`cpkefgb surnery tcurhgquet khf bcmpagbktgchs
GHVZCFUBVGCH
V`e wcrf tcurhgquet wks fergvef ircm t`e Irehb` wcrf tcurher w`gb` mekhs ‑tc turhrdquo Ekragest ohcwh
uskne ci tcurhgquet fktes jkbo tc 77 JBE‒5ltlt BE Gt wks usef jy t`e Zcmkhs tc bchtrca jaeefghn
es pebgkaay furghn kmputktgch V`ese were hkrrcw strkps mkfe ci jrchze usghn chay aekt`er icr bcmicrt
Baghgbgkhs prevgcusay usef Esmkrb` tcurhgquet w`gb` wks k type ci rujjer jkhf t`kt wks wrkppef krcuhf
t`e extremgty tc exskhnughkte t`e jaccf khf tgef gt kt t`e prcxgmka ehf sc ks tc ikbgagtkte reaktgveay
jaccfaess surnery gh t`e fgstka extremgty Jut gt wks bkpkjae ci neherktghn very gn` pressures khf s`ekrghn
icrbes furghn kppagbktgch aekfghn tc sogh trkumk uhferayghn herve trkumk khf eveh iktka bcmpagbktgchsagoe puamchkry emjcagsm Kaa t`ese bcmpagbktgchs aef tc t e kjkhfchghn ci gts use
Vc cverbcme t`ese s`crtbcmghns t`e pheumktgb tcurhgquets were ghtrcfubef gh 7lt6 jy krvey Bus`ghn
V`e prcjaems wgt` sub` tcurhgquets kre aess irequeht gi kppagef uhfer fgrebt supervgsgch ci expergehbef
perschhea khf gi prcper ghiaktgch pressures khf tcurhgquet tgmes kre cjservef Vcurhgquet ghiaktgch aekfs tc
acbka eiiebts fue tc bcmpressgch khf eiiebts ch kaa t`e crnkh systems Vcurhgquet pkgh gs che ci t`e mcst
ghtrgnughn pkghs icr t`e khest`esgcacngst khf kasc k bkuse ci bchberh icr t`e crt`cpefgb surnechs
V`gs revgew krtgbae wks kgmef tc fgsbuss () p`ysgcacngbka b`khnes ci tcurhgquet kppagbktgch ()
bcmpagbktgchs ci tcurhgquet use (2) pre-kppagbktgch prebkutgchs (6) prcper kppagbktgch ci tcurhgquet (5)
t`e skie furktgch khf pressure icr tcurhgquet use (9) rebcmmehfktgchs icr t`e skie use ci tcurhgquet (gt)
tcurhgquet pkgh4 gts bkuse khf mkhknemeht (0) tgmghn ci tcurhgquet reaekse (7) t`e eiiebts ci feiaktgch ci
2
7232019 Tourniquets in orthopedic surgerypdf
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
tcurhgquet
REKZB RVZKVENW
K sekrb` ci agterkture wks fche usghn pujmef EMJKRE nccnae Bcb`rkhe fktkjkses khf sbgehbe fgrebt
icr t`e akst teh yekrs (ltltlt‒ltlt) Oey wcrfs sub` ks tcurhgquet crt`cpkefgb surnery p`ysgcacngbka
b`khnes tcurhgquet pkgh ghtrkvehcus rengchka khkest`esgk khf tcurhgquet pkgh kffgtgves tc reageve
tcurhgquet pkgh furktgch ci ghiaktgch acbka khkest`etgbs khf tcurhgquet pkgh tcurhgquet khf bcmpagbktgchsskie use ci tcurhgquet khf feiaktgch ci tcurhgquet were usef Icrty sgx rkhfcmgzef bchtrcaaef trgkas were
retrgevef cut ci w`gb` icur were exbaufef ircm t`e revgew ks t`ey were bchfubtef ch pktgehts uhferncghn
pakstgb surnerges khf t`ree were exbaufef ks t`ey were bchfubtef ch khgmkas Cut ci t`e remkghghn 27 5
were iuaa text krtgbaes khf t`e rest were kjstrkbts V`ree revgew krtgbaes ch t`e sujdebt were kasc ghbaufef
kachn wgt` bkse repcrts ci bcmpagbktgchs ci tcurhgquet use Zebcmmehfktgchs ircm t`e Ksscbgktgch ci
pergcperktgve Zengsteref Hurses (KCZH) prkbtgbe bcmmgttee khf t`e KCZH jckrf ci fgrebtcrs were kasc
ghbaufef gh t`e revgew prcbess ks t`ese kre upfktef ircm tgme tc tgme kbbcrfghn tc t`e evgfehbe bcaaebtef
cver t`e akst iew yekrs Rtufges ch khtgjgctgb aeveas khf prcp`yakxgs were hct ghbaufef gh t`e revgew
prcbess
`ysgcacngbka b`khnes ci tcurhgquet kppagbktgch
V`e agmj s`cuaf je exskhnughktef jy eaevktghn khf usghn kh Esmkrb` jkhfkne cr tcurhgquet
exskhnughktcrs (R-MKZV) icr emptyghn t`e jaccf vesseas ircm t`e fgstka ehf tc t`e prcxgmka ehf prgcr tc
tcurhgquet ghiaktgch V`ere kre humercus kfvkhtknes ci t`gs ghbaufghn estkjags`ghn k baekr cperktghn igeaf
refubghn cverkaa jaccf acss khf refubghn t`e rgso ci mgbrcemjcag kt t e tgme ci reaekse V`gs
exskhnughktgch resuats gh kutctrkhsiusgch ci jaccf ircm t`e pergp`erka bgrbuaktgch ghtc t`e behtrka
bgrbuaktgch V`e cptgmka tgmghn khf khnae ci eaevktgch icr mkxgmka exskhnughktgchs ci krm `ks jeeh
s`cwh tc je 5 mgh kt 7ltfrac14 khf t`e skme icr aen gs 5 mgh kt 65frac14 V`ere gs prcnressgve beaauakr `ypcxgk
kbgfcsgs khf bccaghn gh t`e cbbaufef agmj Musbae gs mcre susbeptgjae tc gsb`emgb fkmkne t`kh hervegstcacngbka evgfehbe ci musbae fkmkne gs evgfeht 2lt‒9lt mgh kiter tcurhgquet ghiaktgch Febreksef p
(195) febreksef pC ghbreksef pBC ghbreksef O+ ghbreksef akbtkte cbbur prcnressgveay V`ese
b`khnes kre neherkaay mgaf khf weaa tcaerktef Vcurhgquet pkgh feveacps gh up tc 99 ci pktgehts 2lt‒9lt
mgh kiter buii ghiaktgch Vcurhgquet-ghfubef `ypertehsgch cbburs gh ‒99 ci bkses V`e chset gs
khkacncus tc t`e chset ci tcurhgquet pkgh Vgssue efemk feveacps gi t`e tcurhgquet tgme exbeefs 9lt
mgh Kiter feiaktgch t`e returh ci bgrbuaktgch aekfs tc t`e feveacpmeht ci t`e reperiusgch ghdury
Bcmpagbktgchs ci tcurhgquet
Herve ghdury gs t`e mcst bcmmch bcmpagbktgch Kat`cun` t e pkt`cp`ysgcacny ci herve ghdury
ksscbgktef wgt` tcurhgquet use remkghs uhbaekr gt gs agoeay t`kt jct` meb`khgbka bcmpressgch khf heurka
gsb`emgk paky kh gmpcrtkht rcae Gt bkh rkhne ircm mgaf trkhsgeht acss ci iuhbtgch tc grreversgjae fkmkne
khf pkrkaysgs
Ghtrkcperktgve jaeefghn mky cbbur fue tc kh uhfer-pressurgzef buii ghsuiigbgeht exskhnughktgch gmprcper
buii seaebtgch accseay kppagef buii bkabgigef vesseas cr tcc sacw ghiaktgch cr feiaktgch Bcmpkrtmeht
syhfrcme pressure scres b`emgbka jurhs fgngtka hebrcsgs feep vehcus t`rcmjcsgs aekfghn tc
puamchkry cr vehcus emjcagzktgch tcurhgquet pkgh t`ermka fkmkne tc tgssues khf r`kjfcmycaysgs kre
t`e ct`er pctehtgka bcmpagbktgchs gn` pressures khf icrnctteh fgngtka tcurhgquets bkh aekf tc severe
gsb`emgb ghdurges ci t`e fgngts
Mkssgve puamchkry emjcagsm ks kasc jeeh repcrtef furghn ghiaktgch khf pktgehts wgt` feep vegh
6
6
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gt
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7
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2
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5gt
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 312
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 2 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
t`rcmjcsgs (FYV) must je bacseay mchgtcref furghn agmj exskhnughktgch
‑cst-tcurhgquet syhfrcmerdquo mky cbbur gh pktgehts w`c kve kf tcurhgquets kppagef icr prcachnef
tgmes V`e presehtghn iektures ci t`e syhfrcme kre swcaaeh stgii pkae agmj wgt` wekohess jut hc
pkrkaysgs usukaay kiter ‒9 weeos ci tcurhgquet kppagbktgch cstcperktgve efemk gs t`e mkgh etgcacny
re-kppagbktgch prebkutgchs
V`e pressure scurbe buii renuaktcr tujghn khf bchhebtcrs heef tc je b`eboef jeicre use khf ks wgfe k
buii ks pcssgjae s`cuaf je usef gfer buiis prcvgfe jetter trkhsmgssgch ci tgssue bcmpressgch khf acwer
buii pressures kre requgref tc bcmpress t`e krtery khf ehbe mghgmgze pctehtgka pressure-reaktef
bcmpagbktgchs Gh k brcss-cver vcauhteer stufy ci lt pktgehts kaa t`e pktgehts were sujdebtef tc wgfe ks
weaa ks hkrrcw buiis khf gt wks icuhf t`kt wgfer buiis (6 bm) were aess pkghiua t`kh hkrrcw buiis (gt bm)
gi ghiaktef kt acwer pressures khf t`ey were stgaa eiiebtgve kt cbbaufghn jaccf iacw V`e buii s`cuaf hct
fgrebtay cverage jchy prcmghehbes agoe t`e `ekf ci igjuak cr mkaaecag ks t`ere gs rgso ci fgrebt herve
bcmpressgch ehbe gt gs rebcmmehfef t`kt t`e efne ci t`e tcurhgquet s`cuaf je kt aekst bm fgstka tc
t`e `ekf ci igjuak khf bm prcxgmka tc t`e mkaaecag gh bkse ci bkai buiis Gt gs rebcmmehfef t`kt
tcurhgquets je kvcgfef gh igxktgch ci sgmpae gscaktef irkbtures ci igjuak ks gt mky ghbrekse t`e tgme ci rebcvery khf pcstcperktgve bcmpagbktgchs V`e aehnt ci t`e buii s`cuaf je ghfgvgfukagzef kbbcrfghn tc
t`e sgze khf bgrbumierehbe ci t`e pktgehts agmj Gt gs rebcmmehfef t`kt t`e s`kpe s`cuaf kaacw k shun igt kt
jct` prcxgmka khf fgstka efnes V`e wgft` s`cuaf je t`e wgfest pcssgjae jut gt s`cuaf hct ehbrckb` upch
t`e surngbka sgte V`e aehnt` s`cuaf je t`e mghgmum t`kt kssures cverakp krcuhf t`e agmj suiigbgeht tc iuaay
ehnkne t`e ikstehers V`e buii s`cuaf cverakp kt aekst 2 ghb es jut hct mcre t kh 9 ghb`es ks gt mky
bkuse neherktgch ci gn` pressures
Agmjs wgt` severe ghiebtgch pktgehts wgt` pccr bkrfgkb reserve khf trkumktgzef agmjs kre reaktgve
bchtrkghfgbktgchs tc tcurhgquet use ergp`erka heurcpkt`y FYV gh t`e agmj Zeyhkufs fgsekse khf
pergp`erka vksbuakr fgsekse s`cuaf je ruaef cut jeicre bchsgferghn tcurhgquet kppagbktgch Vcurhgquets`kve jeeh usef gh pktgehts wgt` sgboae beaa fgsekse khf trkgt khf k bcmpagbktgch rkte ci 5 wks
cjservef gh icur stufges ghbaufef gh k revgew krtgbae w`gb` ghbaufef 79 pktgehts Uhevehtiua use ci t e
tcurhgquet gh sub` bkses `ks jeeh repcrtef jy ct er ghvestgnktcrs Extrk bkutgch gh t`e pergcperktgve
pergcf s`cuaf je prkbtgbef gh sub` pktgehts
rcper kppagbktgch ci tcurhgquet
V`e tcurhgquet s`cuaf je kppagef very bkreiuaay tc t`e prcxgmka pkrt ci t`e agmj kt t`e nrektest
bgrbumierehbe jebkuse t`e musbae juao kt t`kt sgte gs t`e nrektest khf `ehbe gt kiicrfs k nrekter prctebtgch
knkghst herve ghdury V`e tcurhgquet s`cuaf je igrst feiaktef khf smcct`ehef cut Kfequkte pkffghn s`cuaf
je fche kt t`kt sgte Ykrgcus types ci sogh prctebtgch pkffghn kre kvkgakjae sub` ks t`e Rciijkh sogh
prctebtgch (JRH Mefgbka Meajcurhe Kustrkagk) Ktakhteb` sogh prctebtgch frkpe (Ktakhteb` Mefgbka
Fevgbes krrcnkte UO) Yeajkhfs etb Yeajkhfs were icuhf tc je skie khf bcst-eiiebtgve sogh prctebtgch
jehekt` t`e tcurhgquet Rciijkh khf Ktakhteb` sogh prctebtgch frkpes kve jeeh icuhf tc febrekse t`e
rkte ci sogh bcmpagbktgchs ks bcmpkref tc fgrebt kppagbktgch ci tcurhgquet ch t`e sogh Rtretb`ef saeeves
mkfe ci twc-akyer tujuakr eakstgb mktergka khf mktb`ef tc t`e spebgigb tcurhgquet buiis prcfubef
sgnhgigbkhtay aesser khf aess severe pghb`es khf wrghoaghn ci t`e sogh ks bcmpkref tc ct`er agmj prctebtgch
fevgbes stufgef gh 55 fgiiereht trgkas usghn igve types ci agmj prctebtgch fevgbes Khy scautgch kppagef tc
t`e sogh must hct je kaacwef tc ruh uhferhekt` t`e tcurhgquet ks gt mky aekf tc sogh jurhs K
bgrbumierehtgka kf`esgve jkboef pakstgb frkpe kppagef dust fgstka tc t`e tcurhgquet bkh `eap gh prevehtghnt`gs V`e tcurhgquet s`cuaf je ghiaktef kiter t`e agmj ks jeeh exskhnughktef khf prepkref icr surnery
0
2
5 5
7
lt
26
5
5
5
9
gt ‒ 7
2lt
2
7
2
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 412
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 6 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
V`e skie furktgch khf pressure icr tcurhgquet
Rkie furktgch khf pressure icr tcurhgquet use remkghs k bchtrcversy Hc strgbt nugfeaghes kve jeeh akgf
fcwh K skie tgme agmgt ci ‒2 `ks jeeh fesbrgjef cracboer et ka (ltlt9) `kve icuhf k strchn
bcrreaktgch ci herve ghdury wgt` prcachnef tctka tcurhgquet tgme wgt` kh kpprcxgmkte t`reeicaf ghbrekse gh
rgso ci heurcacngbka bcmpagbktgchs icr ekb` 2lt mgh ghbrekse gh tcurhgquet ghiaktgch V`e furktgch ci
uhghterruptef tcurhgquet ghiaktgch kasc ghbreksef t e agoeag ccf ci heurka fysiuhbtgch Use ci tcurhgquet
icr 8 ` khf pressures ci 825lt mm n gh acwer extremgty khf 85lt mm n gh upper extremgty ghbreksest`e rgso ci bcmpressgch heurkprkxgk Gi 8 ` gs requgref t`e tcurhgquet s`cuaf je feiaktef icr 5 mgh icr
every 2lt mgh ci ghiaktgch tgme
Crt`cpefgb surnechs neherkaay prkbtgbe igxef ghiaktgch pressures (typgbkaay 5lt mm n icr upper krm khf
2ltlt mm n icr t`gn`) cr igxef kmcuht ci pressure kjcve systcagb krtergka pressure (typgbkaay +ltlt mm n
icr upper krm khf ltlt‒5lt mm n icr t`gn ) V`ese prkbtgbes s`cuaf hct je icaacwef ks t`ese fc hct
tkoe ghtc kbbcuht t`e kne gh jct` khf t`e jaccf pressure (J) ci t`e pktgeht gh t`e icrmer teb`hgque Ks gt
`ks jeeh ypct`esgzef jy cracboer et ka (ltlt9) ycuhner pktgehts kve acwer systcagb jaccf pressures
(RJ) khf ehbe ghiaktghn t`e tcurhgquets tc igxef pressures aekfs tc k akrner fgiierehbe jetweeh
tcurhgquet ghiaktgch pressure khf krtergka pressure aekfghn tc exbessgve bcmpressgch Use ci acwesteiiebtgve ghiaktgch pressure ks jeeh kfvcbktef tc mghgmgze tcurhgquet-reaktef herve ghdury
Agmj cbbausgch pressure (AC) ks jeeh utgagzef tc bkabuakte t`e tcurhgquet ghiaktgch pressure jy t`e
KCZH Gt gs t`e pressure gh t`e tcurhgquet kt w`gb` t`e fgstka krtergka jaccf iacw ks kssessef jy k Fcppaer
prcje `eaf cver k fgstka krtery gs cbbaufef V`gs vkaue gs neherkaay gn`er t`kh t`e RJ V`e KCZH
nugfeaghes rebcmmehf t`kt t`e tcurhgquet je ghiaktef ghtrkcperktgveay tc k pressure `gn`er t`kh t`e AC K
skiety mkrngh gs kffef tc bcver ghtrkcperktgve iaubtuktgchs gh krtergka pressure Gi AC gs 12lt mm n t`e
skiety mkrngh gs 6lt mm n icr AC 2‒7lt mm n t`e mkrngh gs 9lt mm n khf gi AC gs 87lt mm
n t`e mkrngh gs 0lt mm n Icr pefgktrgb pktgehts kffghn 5lt mm n `ks jeeh rebcmmehfef
Rtufges `kve s`cwh t`kt buii pressure jksef ch AC meksuref gmmefgkteay prgcr tc surnery gs neherkaayacwer t`kh t`e bcmmchay usef buii pressures khf gs suiigbgeht tc mkghtkgh k sktgsikbtcry surngbka igeaf
R`kw et ka (70) rebcmmehf t`kt acwest tcurhgquet pressure t`kt mkghtkghs k jaccfaess igeaf s`cuaf je
usef Aevy et ka (772) icuhf t`kt t`e mekh bkabuaktef tcurhgquet pressure wks lt2 raquo 26 mm n icr
kfequkte `emcstksgs gh t`e upper agmj w`gb` wks weaa jeacw t`e 5lt‒2ltlt mm n prevgcusay
rebcmmehfef khf irequehtay empacyef Bachgfghe ks jeeh icuhf tc exkberjkte t`e refubtgch gh mekh
krtergka J khf feakyef J rebcvery icaacwghn tcurhgquet feiaktgch prcjkjay ksscbgktef wgt` bachgfghe-
ghfubef gh`gjgtgch ci hcrkfrehkaghe reaekse Vcurhgquet reaekse kaacwghn k reperiusgch ghtervka ci lt‒2lt
mgh icaacwef jy re-ghiaktgch gs rebcmmehfef tc extehf t e furktgch ci tctka tcurhgquet tgme Rghbe t e
feiaktgch icr 5 mghutes kiter every 2lt mgh seems gmprkbtgbka ircm t`e surngbka pcght ci vgew sc icr kaa
prkbtgbka purpcses gt s`cuaf je feiaktef icr kt aekst lt mghutes gi t`e surngbka tgme gs mcre t kh `r V`gs gs
kasc suppcrtef jy k survey jy Cfghhsch et ka w`eregh gt `ks jeeh s`cwh t`ktmcst ci t`e crt`cpefgb
surnechs ieat t`kt k 5-mgh feiaktgch tgme kiter ` tcurhgquet tgme wks skie V`e ghbgfehbe ci repcrtef
bcmpagbktgchs gh t`gs survey wks 9 gh 92606 bkses Igiteeh cut ci t`ese were heurcacngbka gh hkture cut
ci w`gb` twc were permkheht Achner furktgch ci feiaktgch ks jeeh ksscbgktef wgt` k mcfest febrekse
gh irequehby ci heurcacngbka bcmpagbktgchs Gt gs bchbaufef t`kt t e tcurhgquet s`cuaf je ghiaktef
kbbcrfghn tc t`e AC khf s`cuaf je feiaktef kiter ` icr t`e acwer agmj khf kiter ` icr t`e upper agmj
icr kt aekst lt mghutes
Zebcmmehfktgchs icr t`e skie use ci tcurhgquet
V`e KCZH jckrf ci fgrebtcrs `ks kpprcvef t e icaacwghn prkbtgbes icr t`e skie use ci tcurhgquets V`ese
22
6
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27
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62
66
6
6
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 512
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 5 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
kre eiiebtgve ircm Dkhukry ltltgt
ktgeht skiety s`cuaf je t`e prgmkry bchsgferktgch gh evkauktgch seaebtgch purb`kse khf use ci t`e
pheumktgb tcurhgquet khf kbbesscrges V`e tcurhgquet khf gts kbbesscrges s`cuaf je ghspebtef testef khf
mkghtkghef kbbcrfghn tc mkhuikbturers wrgtteh ghstrubtgchs V`e pergcperktgve hurse s`cuaf kssess t`e
pktgeht precperktgveay icr rgsos khf repcrt pctehtgka bchtrkghfgbktgchs tc t`e surnech V`e pheumktgb
tcurhgquet s`cuaf je bchhebtef tc t`e kpprcprgkte pcwernks scurbe t`e bcmpchehts s`cuaf je khfaef
khf t`e buii kppagef gh k mkhher tc mghgmgze t`e rgso ci pktgeht ghdury V`e extremgty s`cuaf je
exskhnughktef jeicre ghiaktgch ci t`e tcurhgquet Vcurhgquet ghiaktgch pressure s`cuaf je oept tc t`e
mghgmum eiiebtgve pressure Ghiaktgch tgme s`cuaf je oept tc k mghgmum khf feiaktgch mkhknef tc
mghgmgze rgsos tc t`e pktgeht V`e pktgeht s`cuaf je mchgtcref bchtghucusay wgt` spebgka bchsgferktgch tc
pkrkmeters agoe `ypertehsgch khf tkb`ybkrfgk ks k surrcnkte ci tcurhgquet pkgh khf temperkture ci t`e agmj
w`gae t`e tcurhgquet buii gs ghiaktef V`e pergcperktgve rengsteref hurse s`cuaf evkaukte t`e cutbcme ci t`e
pktgeht bkre kt t e ehf ci t`e prcbefure Kffgtgchka bkre s`cuaf je tkoeh gh prcbefures ghvcavghn
tcurhgquet bchtrca ch twc extremgtges jebkuse t`e rgso ci bcmpagbktgchs khf t`e systemgb eiiebts ci
tcurhgquet use mky je ghbreksef ctehtgka pktgeht ghdurges khf bcmpagbktgchs ksscbgktef wgt` ghtrkvehcus
rengchka khest`esgk (GYZK Jgers jacbo) s`cuaf je gfehtgigef khf skie prkbtgbes estkjags`ef V`e
tcurhgquet user s`cuaf kve k very baekr uhferstkhfghn ks tc t`e sequehbe ci ghiaktgch khf feiaktgch w`eh
usghn k fuka jakffer buii cr twc sghnae jakffer buiis Kaaernges tc acbka khest`etgb scautgchs s`cuaf je ruaef
cut jeicre khf Revere ghdurges khf eveh fekt`s kve jeeh repcrtef w`eh t`e wrchn buii wks feiaktef
V`e tcurhgquet khf kbbesscrges s`cuaf je baekhef kiter ekb` use ktgeht kssessmehts pakh ci bkre
ghtervehtgchs gmpaemehtef khf evkauktgch ci bkre reaktef tc use ci k pheumktgb tcurhgquet s`cuaf je
fcbumehtef Efubktgch bcmpetehby kssessmeht khf vkagfktgch s`cuaf je bchfubtef jeicre t`e
pergcperktgve rengsteref hurse mkhknes t`e bkre ci k pktgeht usghn k pheumktgb tcurhgquet cagbges khf
prcbefures icr pheumktgb tcurhgquets s`cuaf je feveacpef revgewef pergcfgbkaay revgsef khf upfktef ks
hebesskry khf s`cuaf je kvkgakjae icr rekfy reierehbe gh t`e prkbtgbe settghn V`e ekat` bkre crnkhgzktgchs
qukagty mkhknemeht prcnrkm s`cuaf ghbaufe ghvestgnktgch ci kfverse evehts khf hekr mgsses ksscbgktefwgt` t`e use ci k pheumktgb tcurhgquet
V`e Ksscbgktgch ci Rurngbka Veb`hcacngsts (KRV) `ks kasc rebcmmehfef t`kt t`e surngbka tekm memjers
s`cuaf bcmpaete trkghghn tc femchstrkte t`e ohcwaefne khf bcmpetehby gh prcper use ci t`e pheumktgb
tcurhgquet Fcbumehtktgch ci t`e use ci tcurhgquet s`cuaf je ghbaufef gh t`e pktgehts cperktgch t`ekter
rebcrfs
V`gn` tcurhgquet s`cuaf hct je ghiaktef wgt` t`e ohee gh t`e iaexef pcsgtgch icaacwef jy aen strkgn`tehghn
ks t`gs igxktes t`e sbgktgb herve tc t`e iemur khf bkuses extreme trkbtgch ch t`e herve
Jruher `kf akgf fcwh lt ruaes icr t`e skie use ci tcurhgquet w`gb` `kve jeeh mcfgigef jy Jrkgt`wkgte khfOaehermkh khf kre ngveh gh Vkjae
Fgngtka tcurhgquets gh t`e icrm ci rcaaef nacve ehrcse frkgh cr bkt`eters kve jeeh s`cwh tc neherkte
wgfe rkhnes ci pressures ehbe skie use nugfeaghes were akgf fcwh jy R`kw et ka jy meksurghn
p`ysgcacngbka pressures Vcurhgquets `kve kasc jeeh usef gh igxktgch ci bacsef irkbtures khf
ghtrkmefuaakry hkgaghn fgkjetgb icct kmputktgchs khf trkumk khf wkr sgtuktgchs gh t e kjsehbe ci
s`cbo regmpakhtktgch khf mgbrcvksbuakr prcbefures
Vcurhgquet pkgh4 Gts bkuse khf mkhknemeht
V`e baghgbka syhfrcme ci tcurhgquet pkgh bchsgsts ci severka bcmpchehts khf gs hct dust fue tc t`e pkgh khf pressure uhfer t`e tcurhgquet V`e smkaaer uhmyeaghktef B-igjers kre mcre resgstkht tc acbka khest`etgb
65
2
69
6gt
60
60
67 5lt
5 5
52
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 612
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 9 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
(AK) ghfubef bchfubtgch jacbo ks bcmpkref tc t`e akrner myeaghktef K-igjers Kiter ghtrkt`ebka
kfmghgstrktgch ci kh kfequkte fcse ci AK bchfubtgch gh jct` K- khf B-igjers gs jacboef Jut ks t`e
bchbehtrktgch ci AK gh t`e berejrcspghka iaugf (BRI) febrekses t`e B-igjers stkrt bchfubtghn gmpuases
jeicre t`e K-igjers resuatghn gh k fuaa tcurhgquet pkgh gh t e presehbe ci kh khest`etgb w`gb` w`eh
kssessef jy pgh prgbo kppekrs kfequkte
Eutebtgb mgxture ci acbka khest`etgb (EMAK) brekm kppagbktgch AKs ngveh vgk t`e heurkxgka rcute
wgt` cr wgt`cut cpgcgfs cr GYZK `kve jeeh usef tc kttehukte tcurhgquet-ghfubef pkgh
Mknhesgum suaikte oetkmghe khf oetcrcakb `kve kasc jeeh usef ks kfduvkhts gh GYZK wgt`
vkrgkjae resuats Bachgfghe ks kasc jeeh subbessiuaay usef Ykrgcus knehts ghbaufghn
fexmefetcmgfghe khf oetkmghe `kve kasc jeeh usef ghtrkvehcusay tc kttehukte t gs pkgh
Katerhktgve teb hgques agoe eaebtrcpuhbture khf mefgtktgch `kve kasc jeeh usef icr tcurhgquet pkgh
Vgmghn ci tcurhgquet reaekse
V`ere kre fgiiereht sb`ccas ci t`cun`t renkrfghn t`e tgmghn ci reaekse ci tcurhgquet V`ree stufges ch
tgmghn ci tcurhgquet reaekse were icuhf ghbaufghn lt ohees (0lt pktgehts wgt` uhgakterka prcbefures khf lt
pktgehts wgt` jgakterka tctka ohee krt`rcpaksty) khf 0 pktgehts icr jgakterka bkrpea tuhhea reaekse V`e stufy
nrcup wks fgvgfef ghtc twc equka nrcups (6lt pktgehts gh ekb` nrcup gh che stufy khf lt pktgehts gh t`e
sebchf stufy wgt` lt ohees w`ere tcurhgquet wks reaeksef jeicre khf lt ohees w`ere tcurhgquet wks
reaeksef kiter t`e bacsure) Gh che nrcup t`e tcurhgquet wks feiaktef jeicre wcuhf bacsure khf gh t`e
ct`er kiter wcuhf bacsure V`ere kre hc sgnhgigbkht fgiierehbes gh bcmpagbktgchs agoe pkgh cr ebb`ymcsgs gh
pktgehts gh w`cm t`e tcurhgquet wks reaeksef prgcr tc cr kiter sogh bacsure emcstksgs bchtrca wks jetter gi
gt wks reaeksef kiter wcuhf bacsure khf gt kasc `eapef febrekse t`e cperktgve tgme jy refubghn t`e tgme acst
gh kb`gevghn emcstksgs gi t`e tcurhgquet wks reaeksef prgcr tc sogh bacsure
V`e eiiebts ci feiaktgch ci tcurhgquet
Feiaktgch aekfs tc k febrekse gh mekh krtergka J sgnhgigbkhtay pkrtay cwghn tc t`e reaekse ci metkjcagtes
ircm t`e gsb`emgb agmj ghtc t`e bgrbuaktgch khf t`e febrekse gh pergp`erka vksbuakr resgstkhbe K trkhsgeht
ghbrekse gh EtBC febrekse gh temperkture khf behtrka vehcus cxyneh tehsgch kre seeh
V`e re-estkjags`meht ci jaccf iacw icaacwghn feiaktgch ci tcurhgquet bkh ghfube k pkrkfcxgbka extehsgch ci
gsb`emgb fkmkne mefgktef jy cxyneh iree rkfgbkas khf gs ohcwh ks t`e ‑reperiusgch syhfrcmerdquo V`ere
gs ghterkbtgch jetweeh t`e kbtgvktef heutrcp`gas khf t`e surikbe kf`esgch mcaebuaes ch t`e vksbuakr
ehfct`eagum Aeuocbyte ghigatrktgch jenghs khf t`e expressgch ci gscaktef heutrcp`gas BFj
BF0 ehfct`eagka beaa kf`esgch mcaebuae- (BKM-) cbburs V`gs `ks acbka khf wgfesprekf systemgb
eiiebts Kbute Zespgrktcry Fgstress Ryhfrcme (KZFR) rehka khf bkrfgkb ghdurges mky cbbur khf mkyaekf tc ct`er severe khf citeh iktka bcmpagbktgchs Zeperiusgch ghdury kasc cbburs furghn crnkh
trkhspakhtktgch kcrtgb brcss bakmpghn bkrfgkb jypkss tgssue nrkitghn khf ghtestghka resebtgchs Vrektmeht
wgt `yfrcneh suaigfe khf a-krnghghe khf pre-trektmeht wgt ghfgvgfuka mchcbachka khtgjcfges `ks
jeeh s`cwh tc agmgt t`e gsb`emgk reperiusgch ghdury
Yehcus emjcagzktgch gs khct`er bcmpagbktgch repcrtef kiter feiaktgch ci tcurhgquet espebgkaay ci t`e acwer
agmjs
BCHBAURGCH
Vcurhgquets kre useiua kgfs icr agmj prcbefures ks t`ey febrekse t`e jaccf acss furghn surnery khf prcvgfek reaktgveay jaccfaess igeaf icr t`e surnech gi usef prcperay Rkie use ci tcurhgquets jy gmpaemehtktgch ci
56
25
5559
5gt ‒ 9 9296
9599 99
999gt 90 ‒ gtlt
9gt ‒ 90
gtgt gt
gt2 ‒ gt5
gt9 ‒ gt0 gt7
0lt
0
00
02 06 05
09
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 712
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne gt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
prcper pkffghn uhferhekt` t`e tcurhgquet hct exbeefghn t`e skie agmgt ci tcurhgquet pressure khf furktgch
feiaktghn t`e tcurhgquet icr s`crt ghtervkas ci lt‒5 mgh gi t`e skie tcurhgquet tgme `ks eakpsef khf
prcvgfghn kfequkte khkanesgk jy jacbos rengchka teb`hgques cr AK fruns cr brekms GY cpgcgfs cr
khkanesgbs bkh nc k achn wky gh refubghn t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet use re-
fetermghktgch ci AC khf ghiaktghn tcurhgquets kbbcrfghnay bkh eap refube t`e bcmpagbktgchs ksscbgktef
wgt` t`e use Gt s`cuaf je kvcgfef gh pktgehts wgt` FYV pergp`erka heurcpkt`ges pergp`erka vksbuakr
fgsekse sgboae beaa fgsekse khf Zeyhkufs fgsekse cr gh smkaa surnerges ci igjuak rcper pktgehtmchgtcrghn khf bkre kiter feiaktgch khf bkreiua sekrb` icr heurcacngbka feigbgt pcstcperktgveay gi khy bkh
feighgteay mghgmgze t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet uskne Kaa t`ese meksures tc refube t`e
bcmpagbktgchs ci tcurhgquet heef tc je prcvef jy bchfubtghn akrne-sbkae rkhfcmgzef bchtrcaaef baghgbka
trgkas Mcre humjer ci rkhfcmgzef bchtrcaaef trgkas khf prcspebtgve stufges heef tc je fche tc evkaukte t`e
fgiierehtgka herve ghdurges kiter tcurhgquet use V`e hewer tcurhgquet feiaktgch fevgbes agoe R-MKZV kve
rebehtay bcme gh t`e mkroet khf akrner trgkas khf stufges heef tc je fche tc prcve t`egr eiigbkby
Iccthctes
Rcurbe ci Ruppcrt4 Hga
Bchiagbt ci Ghterest4 Hche
ZEIEZEHBER
Hccrfgh R MbEweh DK Orkn` DI Egseh K Mksrg JK Rurngbka tcurhgquets gh crt`cpkefgbs D Jche
Dcght Rurn Km ltlt774750‒9gt _ujMef4 7759]
Au B^ B`eh WR ^khn MD Mkssgve puamchkry emjcagsm kiter kppagbktgch ci kh Esmkrb` jkhfkne
Khest` Khkan ltlt67040gt‒7 _ujMef4 5lt696]
2 Murp`y BN ^ghter FB Jcub`ger-kyes FD Vcurhgquet ghdurges4 pkt`cnehesgs khf mcfkagtges icr
kttehuktgch Kbtk Crt`cp Jean ltlt5gt4925‒65 _ujMef4 965705]
6 Vcurhgquet ‒ K R-MKZV bchbept Rgmch Kxch Ircm4
`ttp4usmcrt`cpkefgbjacnspctghltlt7lt9tcurhgquet-s-mkrtbchbept`tma
5 Fuiiy D V`e krtergka tcurhgquet Fepkrtmeht ci Khkest`esgk Cttkwk Neherka cspgtka Kbbessef ircm4
`ttp4wwwukmesfepkrtkmehtcsmefgbghkkheshetntck`m`tma
9 ^krreh D krfgmkh DD- ^ccai YD Agmj exskhnughktgch G V`e krm4 eiiebt ci khnae ci eaevktgch
khf krtergka bcmpressgch Khh Z Bcaa Rurn Ehna 77gt642lt‒ _MBGF4 MB67gt9gt]
_ujMef4 69gtlt2]
gt ^krreh D krfgmkh DD- ^ccai YD Agmj exskhnughktgch GG V`e aen4 Eiiebt ci khnae ci eaevktgchKhh Z Bcaa Rurn Ehng 77gt6422‒5 _MBGF4 MB67gt9gt5]
0 kmpsch HJ gkhtkfcsg BK Hekr ghirkref mchgtcrghn ci umkh soeaetka musbae cxynehktgch furghn
icrekrm gsb`emgk D Kppa `ysgca 700964667‒5gt _ujMef4 26lt260]
7 Goemctc W Ocjkyks`g Usug M Gs`gg R B`khnes gh serum mycnacjgh aeveas bkusef jy tcurhgquet
gsb`emgk uhfer hcrmct`ermgb khf ypct`ermgb bchfgtgchs Bagh Crt`cp Zeakt Zes 70026479‒2lt
_ujMef4 26lt7500]
lt Mgb`eka O Urjkh Khkest`esgk icr crt`cpkefgb surnery Gh4 Mgaaer ZF efgtcr Mgaaers Khest`esgk gtt`
ef `gakfeap`gk4 B`urbgaa Agvghnstche ujags`ers ltlt p 5
^gangs EI Cjservktgchs ch t`e eiiebts ci tcurhgquet gsb`emgk D Jche Dcght Rurn Km 7gt524262‒9
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 812
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 0 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
_ujMef4 5697gt]
ekrse FD Zeperiusgch ci t`e gsb`emgb mycbkrfgum D Mca BeaaBkrfgca 7gtgt749lt5‒9
2 Esteje D^ Bcmpagbktgchs ci tcurhgquet use _Kbbessef ch lt7lt9lt] Ircm4
`ttp4wwwtcurhgquetscrnbcmpagbktgchsSprevehtgvep`p
6 cracboer VV eja DZ Nkag J Dkhocwsog BD Juroae BM Jerry FD et ka Khest`etgb pktgeht khf
surngbka rgso ikbtcrs icr heurcacngb bcmpagbktgchs kiter prcachnef tctka ohee krt`rcpaksty Khest` Khkan
ltlt9lt475lt‒5 _ujMef4 96705gt]
5 Kvbg N Kokh M Wgafgrgm R Kougravez V Fgngtka heurcvksbuakr bcmpressgch fue tc k icrnctteh tcurhgquet
khf Rurn ltlt20422‒9 _ujMef4 7275lt]
9 kamer R Nrk`km N Vcurhgquet-ghfubef r`kjfcmycaysgs kiter tctka ohee repakbemeht Khh Z Bcaa
Rurn Ehna 77gt9469‒gt _MBGF4 MB5lt9gt] _ujMef4 gtgtlt20]
gt Furrkht B Vcwhaey ^K Zkmoumkr R O`cc BV Icrnctteh fgngtka tcurhgquet4 Rkavkne ci kh gsb`emgb
ighner jy kppagbktgch ci mefgbghka aeeb`es Khh Z Bcaa Rurn Ehna ltlt900469‒6
_MBGF4 MB796997] _ujMef4 gtltlt05]
0 Rchn DE B`uh F R`gh D kro B Aee DW uamchkry t`rcmjcemjcagsm kiter tcurhgquet ghiaktgch
uhfer spghka khest`esgk -K bkse repcrt Ocrekh D Khest`esgca ltlt57(Ruppa)4R0‒5
_MBGF4 MB2lt2ltlt96] _ujMef4 09690]
7 MbEweh DK Ghopeh O Vcurhgquet skiety prevehtghn sogh ghdurges Rurngbka Veb`hca ltlt2649‒5
lt Esteje D Ae Hkcures K B`emkay A Ebciiey B Vcurhgquet pkgh gh k vcauhteer stufy4 Eiiebt ci
b`khnes gh buii wgft` khf pressure Khkest`esgk ltltlt554‒9 _ujMef4 lt57667]
Nrck` ergcperktgve hursghn 2rf ef Rtkmicrf Bchh4 Kppaetch amp Akhne 779 2lt6
Mkiiuaag H Vestk Y Bkpkssc N Use ci k tcurhgquet gh t`e ghterhka igxktgch ci irkbtures ci t`e fgstka
pkrt ci t`e igjuak K prcspebtgve rkhfcmgzef trgka D Jche Dcght Rurn Km 772gt54gtltlt‒2
_ujMef4 05ltlt05]
2 Zebcmmehfef Rtkhfkrfs ci rkbtgbe icr skie use ci heumktgb Vcurhgquets _Akst kbbessef ch lt
Mky 7] Kvkgakjae Ircm4 `ttp4wwwkstcrn
6 Zebcmmehfef rkbtgbes icr use ci t`e pheumktgb tcurhgquet gh t`e pergcperktgve prkbtgbe settghn
Equgpmeht khf prcfubt skiety ltlt7 _Akst kbbessef ch ltlt Kun ltgt] Kvkgakjae Ircm4
`ttp4wwwNhm`ekat`bkrebcm
5 Okm B Okvkhkn` Z Wcchn II V`e krtergka tcurhgquet4 pkt`cp`ysgcacngbka bchsequehbes khf
khkest`etgb gmpagbktgchs Khkest`esgk ltlt594526‒65 _ujMef4 657]
9 Igs`er J Zcjerts BR Vcurhgquet use khf sgboae beaa `emcnacjghcpkt`y4 cw s`cuaf we prcbeef3
Rcut` Mef D ltltlt2459‒9lt _ujMef4 lt07lt9lt]
gt Ka-N`kmfg KK Jgakterka tctka ohee repakbemeht uhfer tcurhgquet gh k `cmczyncus sgboae beaa pktgeht
Khest` Khkan ltlt2704562‒6
0 Kfu-Nykmig W Rkhokrkhoutty M Mkrwk R Use ci k tcurhgquet gh pktgehts wgt` sgboae-beaa fgsekse
Bkh D Khkest` 7726lt46‒gt _ujMef4 06527]
7 Rtegh ZE Urjkhgko D Use ci t`e tcurhgquet furghn surnery gh pktgehts wgt` sgboae beaa
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 912
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 7 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
`emcnacjghcpkt`ges Bagh Crt`cp 70lt542‒2 _ujMef4 gt602]
2lt Nuc R Gs Yeajkhf stgaa k skie khf bcst eiiebtgve sogh prctebtgch jehekt` t`e tcurhgquet gh `khf surnery3
khf Rurn lt945‒0 _ujMef4 260lt6]
2 Fgh Z Neffes V Rogh prctebtgch jehekt` t`e tcurhgquet Kprcspebtgve rkhfcmgzef trgka KHT D Rurn
ltlt6gt64gt‒ _ujMef4 52gt7gt76]
2 Brehs`kw K Rurngbka Veb`hgque khf kpprckb`es Gh4 Bkhkae RV Jekty D efgtcrs Bkmpjeaas
Cperktgve Crt`cpkefgbs t` efgtgch `gakfeap`gk URK4 Mcsjy Easevger ltlt pp 6‒9
22 efcwgtz ZK Vcurhgquet-ghfubef heurc-musbuakr ghduryKrebeht revgew ci rkjjgt khf baghgbka
expergmehts Kbtk Crt`cp Rbkhf Ruppa 77654‒22 _ujMef4 75lt5lt2]
26 ^`eeaess BZ 2rf Gh ^`eeaess Vextjcco ci Crt`cpefgbs Extremgty Vcurhgquets Kvkgakjae ch ghterhet
`ttp4wwww`eeaesschaghebcmcrt`cextremgtyStcurhgquets
25 Feacun`ry DA Nrgiigt`s Z Krtergka tcurhgquets Bchtghughn Efubktgch gh Khkest`esgk Brgt Bkre kgh
(Ghfgkh Efgtgch) ltlt7496‒0
29 Mc`aer AZ efcwgtz ZK Myers ZZ C`krk ^M Acpez MK Ners`uhhg F Ghtermgtteht reperiusgch
ikgas tc preveht pcst tcurhgquet heurkprkxgk D khf Rurn Km 7776490gt‒72 _ujMef4 lt66gt50]
2gt KCZH Zebcmmehfef rkbtgbes Bcmmgttee Zebcmmehfef prkbtgbes icr t`e use ci t`e pheumktgb
tcurhgquet gh t`e pergcperktgve prkbtgbe settghns KCZH D ltltgt09496lt‒55 _ujMef4 090029]
20 Vrefweaa RD ^gamgho M Ghopeh O MbEweh DK efgktrgb tcurhgquets4 Khkaysgs ci buii khf agmj
ghterikbe burreht prkbtgbe khf nugfeaghes icr use D efgktr Crt`cp ltlt49gt‒9 _ujMef4 5lt6lt]
27 MbEweh DK Ghopeh OJ Wcuhner K V`gn` tcurhgquet skiety4 AC meksuremeht khf k wgfe
bchtcuref buii kaacws acwer buii pressure Rurn Veb` ltlt2640‒0
6lt R`kw DK Murrky FN V`e reaktgchs`gp jetweeh tcurhgquet pressure khf uhferayghn scit-tgssue
pressure gh t`e t`gn` DJche Dcght Rurn 7096460‒5 _ujMef4 gt2ltgt]
6 Aevy C Fkvgf W egm M Eafkr G B`etrgt K Ehnea D Mghgmka tcurhgquet pressure tc mkghtkgh krtergka
bacsure gh upper agmj surnery D khf Rurn Jr 77204lt6‒9 _ujMef4 05lt2gtgt]
6 Rkrokr R Kb`kryk K k`krg R Eiiebt ci crka bachgfghe pre-mefgbktgch ch emcfyhkmgb respchse tc
tcurhgquet feiaktgch icaacwghn epgfurka khest`esgk icr acwer extremgty surnerges Ghfgkh D Khkest`
ltlt95lt499‒gtlt
62 Rkpenk KK eppehstkaa J B`khbe J Cptgmgsghn tcurhgquet kppagbktgch khf reaekse tgmes ghextremgty surnery D Jche Dcght Rurn Km 7059gt42lt2‒6 _ujMef4 2790]
66 Cfghhsch K Ighseh Y Vcurhgquet use khf gts bcmpagbktgchs gh Hcrwky D Jche Dcght Rurn Jr
ltlt9004lt7lt‒ _ujMef4 90gtgt9]
65 heumktgb tcurhgquets usef icr rengchka khest`esgk ekat` Fevgbes 70460‒7
69 kmgf J Tubb`ereaag A Herve ghdurges Gh4 Jcezkert K efgtcr Khkest`esgk khf Crt`cpkefgb surnery
Hew Wcro4 MbNrkw gaa pujags`ers ltlt9 p 6lt7
6gt Outty R MbEawkgh D kffghn uhfer tcurhgquets gh tcurhgquet bchtrcaaef surnery4 Jruhers teh ruaes
revgsgtef Ghdury ltlt224gt5 _ujMef4 0gt7020]
60 R`kw DK FeMut` ^^ Ngaaespy K^ Nugfeaghes icr t`e use ci fgngtka tcurhgquet jksef ch
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1012
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne lt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
p`ysgcacngbka pressure meksuremehts D Jche Dcght Rurn Km 7059gt4lt09‒7lt _ujMef4 6lt2lt0gt]
67 Zyi B Meab`er NK Zntildeefg V heumktgb tcurhgquet ks k repcsgtgchghn kgf gh bacsef ghtrkmefuaakry
hkgaghn Uhikaab`grurn 7757049gt‒7 _ujMef4 050676]
5lt Tnchgs V Rtkpaetch DD Ngrkrf-cweaa YK knghc ZV Rurngbka mkhknemeht ci fgkjetgb icct ghiebtgchs
khf kmputktgchs KCZH D ltlt00gt4725‒69 _ujMef4 052lt2]
5 Orkn` DI Dr ^katers VD Jker FN Icx BD ^kfe BE Rkaghks D et ka Rurvgvka wgt` emernehby
tcurhgquet use tc stcp jaeefghn gh mkdcr agmj trkumk Khh Rurn ltlt7674‒gt _ujMef4 7lt999gt]
5 Fumkhgkh NK B`eh K Mgbrcvksbuakr surnery gh k jaccfaess igeaf Mgbrcsurnery ltltltlt4‒6
_ujMef4 lt5gt0]
52 knehcuw ZZ Jrgfehjkun` C Enmchf D Rtuejghn Z Vcurhgquet pkgh4 K vcauhteer stufy Khest`
Khkan 709954gt5‒0lt _ujMef4 2gt9gtlt5]
56 Ngsseh KD Bcvghc JN Nrenus D Fgiierehtgka sehsgtgvgtges ci mkmmkagkh herve igjres tc acbka
khest`etgb knehts Khest`esgcacny 70lt52469gt‒gt6 _ujMef4 gt65gt79]
55 Acwrge K Dches MD Ekstaey ZD Eiiebt ci eutebtgb mgxture ci acbka khkest`etgb knehts (EMAK) ch
tcurhgquet pkgh gh vcauhteers Jr D Khkest` 707924gt5‒2 _ujMef4 979gt5]
59 Cnuiere E Ngffghs NE V`cm DR Upper krm tcurhgquet pkgh gh acbka khest`esgk surnery D khf
Rurn (Eurcpekh Ycaume) 775lt462‒6
5gt B`cg G Oc` Owko GW K bcmpkrgsch ci tcurhgquet pkgh gh spghka khkest`esgk Ocrekh D
Khkest`esgca 779242gt‒5
50 Bchbepbgch MK Akmjert F ^eab` OK Bcvghc JN Vcurhgquet pkgh furghn spghka khest`esgk4 K
bcmpkrgsch ci pakgh scautgch ci tetrkbkghe khf jupgvkbkghe Khest` Khkan 7009gt400‒2
_ujMef4 26677]
57 Aee W Vuhn MB ^`c A Akg OJ ^chn OA ^u O et ka V`e eiiebt ci epgfurka khest`esgk ch
tcurhgquet pkgh4 K bcmpkrgsch ci agfcbkghe khf lt5 jupgvkbkghe _Krtgbae gh B`ghese] Mk Tug Pue Tk
T`g 77lt04657‒96 _ujMef4 lt7gt60gt]
9lt Jchhet I Fgkaac K Rkkfk M Jeach M Ngajkuf M Jkgbc C revehtgch ci tcurhgquet pkgh jy spghka
gscjkrgb jupgvkbkghe wgt` bachgfghe Jr D Khkest` 70792472‒9 _ujMef4 gt95260]
9 B`erhn B ^chn BR B`khn IA c RD Aee B Epgfurka mcrp`ghe feakys t`e chset ci tcurhgquet
pkgh furghn epgfurka agfcbkghe khest`esgk Khest` Khkan ltlt76496‒9 _ujMef4 lt2lt20]
9 Cokmctc V Mgtsuse V Oks`gwkng V Gwkkhe E Rkoktk W Mksufk O et ka rcp`yakbtgb epgfurka
kfmghgstrktgch ci iehtkhya icr t`e suppressgch ci tcurhgquet pkgh D Khkest`esgk 779lt45‒7
92 Dkmes HO O`cc BV Ieaa Z V`e ‑mghg-Jgers jacbordquo4 k hew teb`hgque icr prevehtgch ci tcurhgquet
pkgh furghn kxgaakry jrkb`gka paexus khkest`esgk D khf Rurn Jr 7767426gt‒7 _ujMef4 0ltgtgt09]
96 Estagraveje D Nehtgag ME Akhnacgs N Mcugaaerch Jerhkrf I Ebciiey B Agfcbkghe prgmghn refubes
tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk4 K preagmghkry stufy ZenKhkest` kgh Mef
ltlt204lt‒2
95 Hkrkhn R Fkag DR Knkrwka M Nkrn Z Evkauktgch ci t`e eiigbkby ci mknhesgum suaikte ks kh kfduvkht
tc agnhcbkghe icr upper agmj surnery Khkest` Ghtehsgve Bkre ltlt029406lt‒6 _ujMef4 75956]
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1112
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
99 Jcse R Ruhfer ZK Zewkrg Y Rkosehk Z Rtufy ci mknhesgum oetkmghe oetcrcakb ks kfduvkhts tc
agfcbkghe gh ghtrkvehcus rengchka khkest`esgk Khhuka Meetghn Kjstrkbts Kmergbkh Rcbgety ci
Khkest`esgcacngsts ltlt0 Cbt 7
9gt Ygsbcmg BM Irgehf K kroer B Murp`y V Wkrheaa M Oetkmghe ks kh kfduvkht gh agfcbkghe
ghtrkvehcus rengchka khest`esgk4 k rkhfcmgsef fcujae-jaghf systemgb bchtrca trgka Zen Khkest` kgh
Mef ltlt72642lt‒2
90 Aurge RF Zeujeh RR Ngjsch BR FeAubk K Mkbgcaeo K Eiiebt ci bachgfghe ch upper extremgty
tcurhgquet pkgh gh ekat`y vcauhteers Zen Khkest` kgh Mef ltltlt545lt‒5
97 Nehtgag M Jerhkrf DM Jchhet I Kffghn bachgfghe tc agfcbkghe icr ghtrkvehcus rengchka khest`esgk
prevehts tcurhgquet pkgh Khest` Khkan 7770042gt‒2lt _ujMef4 lt25gt227]
gtlt Ncrngks HO Mkgfktsg N Oyrgkogfgs KM Okrkocuaks OK Kavkhcs FH Ngkak MM Bachgfghe versus
oetkmghe tc preveht tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk wgt` agfcbkghe Zen Khkest`
kgh Mef ltlt945‒gt
gt Musgka I Nkjrgea V Kmt`cr H Zkmpp V Mgb`kaseh K Fcjcs N Gs eaebtrc-puhbture k pakbejc gh
expergmehtka tcurhgquet pkgh3 Eurcpekh Dcurhka ci Ghtenrktgve mefgbghe ltlt0(Ruppa )49‒gt
gt B`cg K Musgka I Kmt`cr H Akub`e Z Zkmpp V Rk`k D et ka V`e eiiebt ci eaebtrc kbupuhbture khf
mefgtktgch ch expergmehtka tcurhgquet pkgh Eur D Ghtenr Mef ltlt0(Ruppa )45‒9
gt2 B`rgstcfcuacu KN acumgs KA Verzgfgs G B`khtzgfgs Metscvgtgs RZ Hgogicrcs FN V`e rcae ci
tgmghn ci tcurhgquet reaekse khf bemehtghn ch ergcperktgve jaccf acss gh tctka ohee repakbemeht Ohee
ltlt6422‒gt _ujMef4 597]
gt6 utb`ghsch FV ^khn KK Zeaeksghn t`e tcurhgquet gh bkrpea tuhhea surnery khf ltlt545gt‒7
_MBGF4 MB0lt96] _ujMef4 76gtlt5]
gt5 V`crey I Rtuoehjcrn-Bcasmkh B ^ghf`kneh ^grt` BD V`e eiiebt ci tcurhgquet reaekse tgmghn ch
ergcperktgve jaccf acss gh jgakterka bemehtef tctka ohee krt`rcpaksty4 K prcspebtgve rkhfcmgzef stufy
Veb`hca ekat` Bkre ltlt09405‒7 _ujMef4 060gt056]
gt9 Nrkhner FH Jehcgt DH Ruzuog M Nrgs`km MJ Aeuocbyte kf`erehbe tc vehuakr ehfct`eagum furghn
gsb`emgk reperiusgch Km D `ysgca 7075gt4N902‒0 _ujMef4 5799lt6]
gtgt erhkhfez AK Nrgs`km MJ Vwc`gn J Kricrs OE krakh DM Nrkhner FH Zcae ci heutrcp`gas gh
gsb`emgk reperiusgch-ghfubef mgbrc vksbuakr ghdury Km D `ysgca 70gt524977‒gtlt2
_ujMef4 2922lt2]
gt0 Rtcoes OW Kjfg` O Oeaay BD Zefmchf Jcub`ger-kyes FD V`ermc tcaerkhbe kttehuktes
gsb`emgk reperiusgch ghfubef rehka ghdury khf ghbreksef expressgch ci GBKM- Vrkhspakhtktgch
7799462‒7 _ujMef4 07ltlt29]
gt7 ^kokg K ^khn D ^ghter FB Rtreet DV CRuaagvkh ZN Zefmchf Vcurhgquet ghfubef systemgb
ghiakmmktcry respchse gh extremgty surnery D Vrkumk ltlt547‒9 _ujMef4 gtlt926]
0lt Wkmkzkog V Reoc W Vkmktkhg V Mgykskok M Wkzkog W Expressgch ci ghtrkbeaauakr kf`esgch
mcaebuae- gh rkt wgt` gsb`emgkreperiusgch khf agmgtktgch ci ghikrbt sgze jy trektmeht wgt` khtgjcfges
knkghst beaa kf`esgch mcaebuaes Km D kt`ca 7726246lt‒0 _MBGF4 MB00gtlt2]
_ujMef4 0ltlt2lt]
0 Akh ^ krmch F ^khn D N`crg O R`crteh N Zefmchf V`e eiiebt ci agfcbkghe ch gh vgtrc
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1212
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
khf ohee krt`rcpaksty D Yksb Rurn ltlt2204gtlt‒gt _ujMef4 6909lt6]
02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
extrkbeaauakr bkabgum bchbehtrktgch ch `ypcxgkrecxynehktgch khf gsb`emgkreperiusgch-ghfubef bkrfgkbghdury D `krmkbca Exp V`er 70604gt9‒0 _ujMef4 9gtltgt76]
06 Earcf D^ Bkavert D^ Furkhsog MZ Aeier FD yfrcneh suap`gfe fchcr prctebts knkghst kbute
mycbkrfgka gsb`emgk-reperiusgch ghdury Bgrbuaktgch ltlt964gt
05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
katers t`e oghetgbs ci hgtrgb cxgfe khf supercxgfe reaekse khf refubes gsb`emgkreperiusgch ghdury gh soeaetka
musbae Bgrbuaktgch 77gt79499gt‒gt5 _ujMef4 7666]
09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
acwer extremgty tcurhgquets Khest` Khkan 776gt04267‒52 _ujMef4 0207]
Ignures khf Vkjaes
Vkjae
Jruhers teh ruaes icr t`e skie use ci tcurhgquet (Mcfgigef jy Jkrgt`wkgte khf Oaehermkh)
Krtgbaes ircm Ghfgkh Dcurhka ci Crt`cpkefgbs kre prcvgfef `ere bcurtesy ci Mefohcw ujagbktgchs
6gt
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 212
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
tcurhgquet
REKZB RVZKVENW
K sekrb` ci agterkture wks fche usghn pujmef EMJKRE nccnae Bcb`rkhe fktkjkses khf sbgehbe fgrebt
icr t`e akst teh yekrs (ltltlt‒ltlt) Oey wcrfs sub` ks tcurhgquet crt`cpkefgb surnery p`ysgcacngbka
b`khnes tcurhgquet pkgh ghtrkvehcus rengchka khkest`esgk khf tcurhgquet pkgh kffgtgves tc reageve
tcurhgquet pkgh furktgch ci ghiaktgch acbka khkest`etgbs khf tcurhgquet pkgh tcurhgquet khf bcmpagbktgchsskie use ci tcurhgquet khf feiaktgch ci tcurhgquet were usef Icrty sgx rkhfcmgzef bchtrcaaef trgkas were
retrgevef cut ci w`gb` icur were exbaufef ircm t`e revgew ks t`ey were bchfubtef ch pktgehts uhferncghn
pakstgb surnerges khf t`ree were exbaufef ks t`ey were bchfubtef ch khgmkas Cut ci t`e remkghghn 27 5
were iuaa text krtgbaes khf t`e rest were kjstrkbts V`ree revgew krtgbaes ch t`e sujdebt were kasc ghbaufef
kachn wgt` bkse repcrts ci bcmpagbktgchs ci tcurhgquet use Zebcmmehfktgchs ircm t`e Ksscbgktgch ci
pergcperktgve Zengsteref Hurses (KCZH) prkbtgbe bcmmgttee khf t`e KCZH jckrf ci fgrebtcrs were kasc
ghbaufef gh t`e revgew prcbess ks t`ese kre upfktef ircm tgme tc tgme kbbcrfghn tc t`e evgfehbe bcaaebtef
cver t`e akst iew yekrs Rtufges ch khtgjgctgb aeveas khf prcp`yakxgs were hct ghbaufef gh t`e revgew
prcbess
`ysgcacngbka b`khnes ci tcurhgquet kppagbktgch
V`e agmj s`cuaf je exskhnughktef jy eaevktghn khf usghn kh Esmkrb` jkhfkne cr tcurhgquet
exskhnughktcrs (R-MKZV) icr emptyghn t`e jaccf vesseas ircm t`e fgstka ehf tc t`e prcxgmka ehf prgcr tc
tcurhgquet ghiaktgch V`ere kre humercus kfvkhtknes ci t`gs ghbaufghn estkjags`ghn k baekr cperktghn igeaf
refubghn cverkaa jaccf acss khf refubghn t`e rgso ci mgbrcemjcag kt t e tgme ci reaekse V`gs
exskhnughktgch resuats gh kutctrkhsiusgch ci jaccf ircm t`e pergp`erka bgrbuaktgch ghtc t`e behtrka
bgrbuaktgch V`e cptgmka tgmghn khf khnae ci eaevktgch icr mkxgmka exskhnughktgchs ci krm `ks jeeh
s`cwh tc je 5 mgh kt 7ltfrac14 khf t`e skme icr aen gs 5 mgh kt 65frac14 V`ere gs prcnressgve beaauakr `ypcxgk
kbgfcsgs khf bccaghn gh t`e cbbaufef agmj Musbae gs mcre susbeptgjae tc gsb`emgb fkmkne t`kh hervegstcacngbka evgfehbe ci musbae fkmkne gs evgfeht 2lt‒9lt mgh kiter tcurhgquet ghiaktgch Febreksef p
(195) febreksef pC ghbreksef pBC ghbreksef O+ ghbreksef akbtkte cbbur prcnressgveay V`ese
b`khnes kre neherkaay mgaf khf weaa tcaerktef Vcurhgquet pkgh feveacps gh up tc 99 ci pktgehts 2lt‒9lt
mgh kiter buii ghiaktgch Vcurhgquet-ghfubef `ypertehsgch cbburs gh ‒99 ci bkses V`e chset gs
khkacncus tc t`e chset ci tcurhgquet pkgh Vgssue efemk feveacps gi t`e tcurhgquet tgme exbeefs 9lt
mgh Kiter feiaktgch t`e returh ci bgrbuaktgch aekfs tc t`e feveacpmeht ci t`e reperiusgch ghdury
Bcmpagbktgchs ci tcurhgquet
Herve ghdury gs t`e mcst bcmmch bcmpagbktgch Kat`cun` t e pkt`cp`ysgcacny ci herve ghdury
ksscbgktef wgt` tcurhgquet use remkghs uhbaekr gt gs agoeay t`kt jct` meb`khgbka bcmpressgch khf heurka
gsb`emgk paky kh gmpcrtkht rcae Gt bkh rkhne ircm mgaf trkhsgeht acss ci iuhbtgch tc grreversgjae fkmkne
khf pkrkaysgs
Ghtrkcperktgve jaeefghn mky cbbur fue tc kh uhfer-pressurgzef buii ghsuiigbgeht exskhnughktgch gmprcper
buii seaebtgch accseay kppagef buii bkabgigef vesseas cr tcc sacw ghiaktgch cr feiaktgch Bcmpkrtmeht
syhfrcme pressure scres b`emgbka jurhs fgngtka hebrcsgs feep vehcus t`rcmjcsgs aekfghn tc
puamchkry cr vehcus emjcagzktgch tcurhgquet pkgh t`ermka fkmkne tc tgssues khf r`kjfcmycaysgs kre
t`e ct`er pctehtgka bcmpagbktgchs gn` pressures khf icrnctteh fgngtka tcurhgquets bkh aekf tc severe
gsb`emgb ghdurges ci t`e fgngts
Mkssgve puamchkry emjcagsm ks kasc jeeh repcrtef furghn ghiaktgch khf pktgehts wgt` feep vegh
6
6
5 9
gt
0
7
5
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7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 312
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 2 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
t`rcmjcsgs (FYV) must je bacseay mchgtcref furghn agmj exskhnughktgch
‑cst-tcurhgquet syhfrcmerdquo mky cbbur gh pktgehts w`c kve kf tcurhgquets kppagef icr prcachnef
tgmes V`e presehtghn iektures ci t`e syhfrcme kre swcaaeh stgii pkae agmj wgt` wekohess jut hc
pkrkaysgs usukaay kiter ‒9 weeos ci tcurhgquet kppagbktgch cstcperktgve efemk gs t`e mkgh etgcacny
re-kppagbktgch prebkutgchs
V`e pressure scurbe buii renuaktcr tujghn khf bchhebtcrs heef tc je b`eboef jeicre use khf ks wgfe k
buii ks pcssgjae s`cuaf je usef gfer buiis prcvgfe jetter trkhsmgssgch ci tgssue bcmpressgch khf acwer
buii pressures kre requgref tc bcmpress t`e krtery khf ehbe mghgmgze pctehtgka pressure-reaktef
bcmpagbktgchs Gh k brcss-cver vcauhteer stufy ci lt pktgehts kaa t`e pktgehts were sujdebtef tc wgfe ks
weaa ks hkrrcw buiis khf gt wks icuhf t`kt wgfer buiis (6 bm) were aess pkghiua t`kh hkrrcw buiis (gt bm)
gi ghiaktef kt acwer pressures khf t`ey were stgaa eiiebtgve kt cbbaufghn jaccf iacw V`e buii s`cuaf hct
fgrebtay cverage jchy prcmghehbes agoe t`e `ekf ci igjuak cr mkaaecag ks t`ere gs rgso ci fgrebt herve
bcmpressgch ehbe gt gs rebcmmehfef t`kt t`e efne ci t`e tcurhgquet s`cuaf je kt aekst bm fgstka tc
t`e `ekf ci igjuak khf bm prcxgmka tc t`e mkaaecag gh bkse ci bkai buiis Gt gs rebcmmehfef t`kt
tcurhgquets je kvcgfef gh igxktgch ci sgmpae gscaktef irkbtures ci igjuak ks gt mky ghbrekse t`e tgme ci rebcvery khf pcstcperktgve bcmpagbktgchs V`e aehnt ci t`e buii s`cuaf je ghfgvgfukagzef kbbcrfghn tc
t`e sgze khf bgrbumierehbe ci t`e pktgehts agmj Gt gs rebcmmehfef t`kt t`e s`kpe s`cuaf kaacw k shun igt kt
jct` prcxgmka khf fgstka efnes V`e wgft` s`cuaf je t`e wgfest pcssgjae jut gt s`cuaf hct ehbrckb` upch
t`e surngbka sgte V`e aehnt` s`cuaf je t`e mghgmum t`kt kssures cverakp krcuhf t`e agmj suiigbgeht tc iuaay
ehnkne t`e ikstehers V`e buii s`cuaf cverakp kt aekst 2 ghb es jut hct mcre t kh 9 ghb`es ks gt mky
bkuse neherktgch ci gn` pressures
Agmjs wgt` severe ghiebtgch pktgehts wgt` pccr bkrfgkb reserve khf trkumktgzef agmjs kre reaktgve
bchtrkghfgbktgchs tc tcurhgquet use ergp`erka heurcpkt`y FYV gh t`e agmj Zeyhkufs fgsekse khf
pergp`erka vksbuakr fgsekse s`cuaf je ruaef cut jeicre bchsgferghn tcurhgquet kppagbktgch Vcurhgquets`kve jeeh usef gh pktgehts wgt` sgboae beaa fgsekse khf trkgt khf k bcmpagbktgch rkte ci 5 wks
cjservef gh icur stufges ghbaufef gh k revgew krtgbae w`gb` ghbaufef 79 pktgehts Uhevehtiua use ci t e
tcurhgquet gh sub` bkses `ks jeeh repcrtef jy ct er ghvestgnktcrs Extrk bkutgch gh t`e pergcperktgve
pergcf s`cuaf je prkbtgbef gh sub` pktgehts
rcper kppagbktgch ci tcurhgquet
V`e tcurhgquet s`cuaf je kppagef very bkreiuaay tc t`e prcxgmka pkrt ci t`e agmj kt t`e nrektest
bgrbumierehbe jebkuse t`e musbae juao kt t`kt sgte gs t`e nrektest khf `ehbe gt kiicrfs k nrekter prctebtgch
knkghst herve ghdury V`e tcurhgquet s`cuaf je igrst feiaktef khf smcct`ehef cut Kfequkte pkffghn s`cuaf
je fche kt t`kt sgte Ykrgcus types ci sogh prctebtgch pkffghn kre kvkgakjae sub` ks t`e Rciijkh sogh
prctebtgch (JRH Mefgbka Meajcurhe Kustrkagk) Ktakhteb` sogh prctebtgch frkpe (Ktakhteb` Mefgbka
Fevgbes krrcnkte UO) Yeajkhfs etb Yeajkhfs were icuhf tc je skie khf bcst-eiiebtgve sogh prctebtgch
jehekt` t`e tcurhgquet Rciijkh khf Ktakhteb` sogh prctebtgch frkpes kve jeeh icuhf tc febrekse t`e
rkte ci sogh bcmpagbktgchs ks bcmpkref tc fgrebt kppagbktgch ci tcurhgquet ch t`e sogh Rtretb`ef saeeves
mkfe ci twc-akyer tujuakr eakstgb mktergka khf mktb`ef tc t`e spebgigb tcurhgquet buiis prcfubef
sgnhgigbkhtay aesser khf aess severe pghb`es khf wrghoaghn ci t`e sogh ks bcmpkref tc ct`er agmj prctebtgch
fevgbes stufgef gh 55 fgiiereht trgkas usghn igve types ci agmj prctebtgch fevgbes Khy scautgch kppagef tc
t`e sogh must hct je kaacwef tc ruh uhferhekt` t`e tcurhgquet ks gt mky aekf tc sogh jurhs K
bgrbumierehtgka kf`esgve jkboef pakstgb frkpe kppagef dust fgstka tc t`e tcurhgquet bkh `eap gh prevehtghnt`gs V`e tcurhgquet s`cuaf je ghiaktef kiter t`e agmj ks jeeh exskhnughktef khf prepkref icr surnery
0
2
5 5
7
lt
26
5
5
5
9
gt ‒ 7
2lt
2
7
2
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 412
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 6 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
V`e skie furktgch khf pressure icr tcurhgquet
Rkie furktgch khf pressure icr tcurhgquet use remkghs k bchtrcversy Hc strgbt nugfeaghes kve jeeh akgf
fcwh K skie tgme agmgt ci ‒2 `ks jeeh fesbrgjef cracboer et ka (ltlt9) `kve icuhf k strchn
bcrreaktgch ci herve ghdury wgt` prcachnef tctka tcurhgquet tgme wgt` kh kpprcxgmkte t`reeicaf ghbrekse gh
rgso ci heurcacngbka bcmpagbktgchs icr ekb` 2lt mgh ghbrekse gh tcurhgquet ghiaktgch V`e furktgch ci
uhghterruptef tcurhgquet ghiaktgch kasc ghbreksef t e agoeag ccf ci heurka fysiuhbtgch Use ci tcurhgquet
icr 8 ` khf pressures ci 825lt mm n gh acwer extremgty khf 85lt mm n gh upper extremgty ghbreksest`e rgso ci bcmpressgch heurkprkxgk Gi 8 ` gs requgref t`e tcurhgquet s`cuaf je feiaktef icr 5 mgh icr
every 2lt mgh ci ghiaktgch tgme
Crt`cpefgb surnechs neherkaay prkbtgbe igxef ghiaktgch pressures (typgbkaay 5lt mm n icr upper krm khf
2ltlt mm n icr t`gn`) cr igxef kmcuht ci pressure kjcve systcagb krtergka pressure (typgbkaay +ltlt mm n
icr upper krm khf ltlt‒5lt mm n icr t`gn ) V`ese prkbtgbes s`cuaf hct je icaacwef ks t`ese fc hct
tkoe ghtc kbbcuht t`e kne gh jct` khf t`e jaccf pressure (J) ci t`e pktgeht gh t`e icrmer teb`hgque Ks gt
`ks jeeh ypct`esgzef jy cracboer et ka (ltlt9) ycuhner pktgehts kve acwer systcagb jaccf pressures
(RJ) khf ehbe ghiaktghn t`e tcurhgquets tc igxef pressures aekfs tc k akrner fgiierehbe jetweeh
tcurhgquet ghiaktgch pressure khf krtergka pressure aekfghn tc exbessgve bcmpressgch Use ci acwesteiiebtgve ghiaktgch pressure ks jeeh kfvcbktef tc mghgmgze tcurhgquet-reaktef herve ghdury
Agmj cbbausgch pressure (AC) ks jeeh utgagzef tc bkabuakte t`e tcurhgquet ghiaktgch pressure jy t`e
KCZH Gt gs t`e pressure gh t`e tcurhgquet kt w`gb` t`e fgstka krtergka jaccf iacw ks kssessef jy k Fcppaer
prcje `eaf cver k fgstka krtery gs cbbaufef V`gs vkaue gs neherkaay gn`er t`kh t`e RJ V`e KCZH
nugfeaghes rebcmmehf t`kt t`e tcurhgquet je ghiaktef ghtrkcperktgveay tc k pressure `gn`er t`kh t`e AC K
skiety mkrngh gs kffef tc bcver ghtrkcperktgve iaubtuktgchs gh krtergka pressure Gi AC gs 12lt mm n t`e
skiety mkrngh gs 6lt mm n icr AC 2‒7lt mm n t`e mkrngh gs 9lt mm n khf gi AC gs 87lt mm
n t`e mkrngh gs 0lt mm n Icr pefgktrgb pktgehts kffghn 5lt mm n `ks jeeh rebcmmehfef
Rtufges `kve s`cwh t`kt buii pressure jksef ch AC meksuref gmmefgkteay prgcr tc surnery gs neherkaayacwer t`kh t`e bcmmchay usef buii pressures khf gs suiigbgeht tc mkghtkgh k sktgsikbtcry surngbka igeaf
R`kw et ka (70) rebcmmehf t`kt acwest tcurhgquet pressure t`kt mkghtkghs k jaccfaess igeaf s`cuaf je
usef Aevy et ka (772) icuhf t`kt t`e mekh bkabuaktef tcurhgquet pressure wks lt2 raquo 26 mm n icr
kfequkte `emcstksgs gh t`e upper agmj w`gb` wks weaa jeacw t`e 5lt‒2ltlt mm n prevgcusay
rebcmmehfef khf irequehtay empacyef Bachgfghe ks jeeh icuhf tc exkberjkte t`e refubtgch gh mekh
krtergka J khf feakyef J rebcvery icaacwghn tcurhgquet feiaktgch prcjkjay ksscbgktef wgt` bachgfghe-
ghfubef gh`gjgtgch ci hcrkfrehkaghe reaekse Vcurhgquet reaekse kaacwghn k reperiusgch ghtervka ci lt‒2lt
mgh icaacwef jy re-ghiaktgch gs rebcmmehfef tc extehf t e furktgch ci tctka tcurhgquet tgme Rghbe t e
feiaktgch icr 5 mghutes kiter every 2lt mgh seems gmprkbtgbka ircm t`e surngbka pcght ci vgew sc icr kaa
prkbtgbka purpcses gt s`cuaf je feiaktef icr kt aekst lt mghutes gi t`e surngbka tgme gs mcre t kh `r V`gs gs
kasc suppcrtef jy k survey jy Cfghhsch et ka w`eregh gt `ks jeeh s`cwh t`ktmcst ci t`e crt`cpefgb
surnechs ieat t`kt k 5-mgh feiaktgch tgme kiter ` tcurhgquet tgme wks skie V`e ghbgfehbe ci repcrtef
bcmpagbktgchs gh t`gs survey wks 9 gh 92606 bkses Igiteeh cut ci t`ese were heurcacngbka gh hkture cut
ci w`gb` twc were permkheht Achner furktgch ci feiaktgch ks jeeh ksscbgktef wgt` k mcfest febrekse
gh irequehby ci heurcacngbka bcmpagbktgchs Gt gs bchbaufef t`kt t e tcurhgquet s`cuaf je ghiaktef
kbbcrfghn tc t`e AC khf s`cuaf je feiaktef kiter ` icr t`e acwer agmj khf kiter ` icr t`e upper agmj
icr kt aekst lt mghutes
Zebcmmehfktgchs icr t`e skie use ci tcurhgquet
V`e KCZH jckrf ci fgrebtcrs `ks kpprcvef t e icaacwghn prkbtgbes icr t`e skie use ci tcurhgquets V`ese
22
6
26
25
2
29
2gt 20
27
6lt
6
6
62
66
6
6
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 512
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 5 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
kre eiiebtgve ircm Dkhukry ltltgt
ktgeht skiety s`cuaf je t`e prgmkry bchsgferktgch gh evkauktgch seaebtgch purb`kse khf use ci t`e
pheumktgb tcurhgquet khf kbbesscrges V`e tcurhgquet khf gts kbbesscrges s`cuaf je ghspebtef testef khf
mkghtkghef kbbcrfghn tc mkhuikbturers wrgtteh ghstrubtgchs V`e pergcperktgve hurse s`cuaf kssess t`e
pktgeht precperktgveay icr rgsos khf repcrt pctehtgka bchtrkghfgbktgchs tc t`e surnech V`e pheumktgb
tcurhgquet s`cuaf je bchhebtef tc t`e kpprcprgkte pcwernks scurbe t`e bcmpchehts s`cuaf je khfaef
khf t`e buii kppagef gh k mkhher tc mghgmgze t`e rgso ci pktgeht ghdury V`e extremgty s`cuaf je
exskhnughktef jeicre ghiaktgch ci t`e tcurhgquet Vcurhgquet ghiaktgch pressure s`cuaf je oept tc t`e
mghgmum eiiebtgve pressure Ghiaktgch tgme s`cuaf je oept tc k mghgmum khf feiaktgch mkhknef tc
mghgmgze rgsos tc t`e pktgeht V`e pktgeht s`cuaf je mchgtcref bchtghucusay wgt` spebgka bchsgferktgch tc
pkrkmeters agoe `ypertehsgch khf tkb`ybkrfgk ks k surrcnkte ci tcurhgquet pkgh khf temperkture ci t`e agmj
w`gae t`e tcurhgquet buii gs ghiaktef V`e pergcperktgve rengsteref hurse s`cuaf evkaukte t`e cutbcme ci t`e
pktgeht bkre kt t e ehf ci t`e prcbefure Kffgtgchka bkre s`cuaf je tkoeh gh prcbefures ghvcavghn
tcurhgquet bchtrca ch twc extremgtges jebkuse t`e rgso ci bcmpagbktgchs khf t`e systemgb eiiebts ci
tcurhgquet use mky je ghbreksef ctehtgka pktgeht ghdurges khf bcmpagbktgchs ksscbgktef wgt` ghtrkvehcus
rengchka khest`esgk (GYZK Jgers jacbo) s`cuaf je gfehtgigef khf skie prkbtgbes estkjags`ef V`e
tcurhgquet user s`cuaf kve k very baekr uhferstkhfghn ks tc t`e sequehbe ci ghiaktgch khf feiaktgch w`eh
usghn k fuka jakffer buii cr twc sghnae jakffer buiis Kaaernges tc acbka khest`etgb scautgchs s`cuaf je ruaef
cut jeicre khf Revere ghdurges khf eveh fekt`s kve jeeh repcrtef w`eh t`e wrchn buii wks feiaktef
V`e tcurhgquet khf kbbesscrges s`cuaf je baekhef kiter ekb` use ktgeht kssessmehts pakh ci bkre
ghtervehtgchs gmpaemehtef khf evkauktgch ci bkre reaktef tc use ci k pheumktgb tcurhgquet s`cuaf je
fcbumehtef Efubktgch bcmpetehby kssessmeht khf vkagfktgch s`cuaf je bchfubtef jeicre t`e
pergcperktgve rengsteref hurse mkhknes t`e bkre ci k pktgeht usghn k pheumktgb tcurhgquet cagbges khf
prcbefures icr pheumktgb tcurhgquets s`cuaf je feveacpef revgewef pergcfgbkaay revgsef khf upfktef ks
hebesskry khf s`cuaf je kvkgakjae icr rekfy reierehbe gh t`e prkbtgbe settghn V`e ekat` bkre crnkhgzktgchs
qukagty mkhknemeht prcnrkm s`cuaf ghbaufe ghvestgnktgch ci kfverse evehts khf hekr mgsses ksscbgktefwgt` t`e use ci k pheumktgb tcurhgquet
V`e Ksscbgktgch ci Rurngbka Veb`hcacngsts (KRV) `ks kasc rebcmmehfef t`kt t`e surngbka tekm memjers
s`cuaf bcmpaete trkghghn tc femchstrkte t`e ohcwaefne khf bcmpetehby gh prcper use ci t`e pheumktgb
tcurhgquet Fcbumehtktgch ci t`e use ci tcurhgquet s`cuaf je ghbaufef gh t`e pktgehts cperktgch t`ekter
rebcrfs
V`gn` tcurhgquet s`cuaf hct je ghiaktef wgt` t`e ohee gh t`e iaexef pcsgtgch icaacwef jy aen strkgn`tehghn
ks t`gs igxktes t`e sbgktgb herve tc t`e iemur khf bkuses extreme trkbtgch ch t`e herve
Jruher `kf akgf fcwh lt ruaes icr t`e skie use ci tcurhgquet w`gb` `kve jeeh mcfgigef jy Jrkgt`wkgte khfOaehermkh khf kre ngveh gh Vkjae
Fgngtka tcurhgquets gh t`e icrm ci rcaaef nacve ehrcse frkgh cr bkt`eters kve jeeh s`cwh tc neherkte
wgfe rkhnes ci pressures ehbe skie use nugfeaghes were akgf fcwh jy R`kw et ka jy meksurghn
p`ysgcacngbka pressures Vcurhgquets `kve kasc jeeh usef gh igxktgch ci bacsef irkbtures khf
ghtrkmefuaakry hkgaghn fgkjetgb icct kmputktgchs khf trkumk khf wkr sgtuktgchs gh t e kjsehbe ci
s`cbo regmpakhtktgch khf mgbrcvksbuakr prcbefures
Vcurhgquet pkgh4 Gts bkuse khf mkhknemeht
V`e baghgbka syhfrcme ci tcurhgquet pkgh bchsgsts ci severka bcmpchehts khf gs hct dust fue tc t`e pkgh khf pressure uhfer t`e tcurhgquet V`e smkaaer uhmyeaghktef B-igjers kre mcre resgstkht tc acbka khest`etgb
65
2
69
6gt
60
60
67 5lt
5 5
52
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 612
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 9 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
(AK) ghfubef bchfubtgch jacbo ks bcmpkref tc t`e akrner myeaghktef K-igjers Kiter ghtrkt`ebka
kfmghgstrktgch ci kh kfequkte fcse ci AK bchfubtgch gh jct` K- khf B-igjers gs jacboef Jut ks t`e
bchbehtrktgch ci AK gh t`e berejrcspghka iaugf (BRI) febrekses t`e B-igjers stkrt bchfubtghn gmpuases
jeicre t`e K-igjers resuatghn gh k fuaa tcurhgquet pkgh gh t e presehbe ci kh khest`etgb w`gb` w`eh
kssessef jy pgh prgbo kppekrs kfequkte
Eutebtgb mgxture ci acbka khest`etgb (EMAK) brekm kppagbktgch AKs ngveh vgk t`e heurkxgka rcute
wgt` cr wgt`cut cpgcgfs cr GYZK `kve jeeh usef tc kttehukte tcurhgquet-ghfubef pkgh
Mknhesgum suaikte oetkmghe khf oetcrcakb `kve kasc jeeh usef ks kfduvkhts gh GYZK wgt`
vkrgkjae resuats Bachgfghe ks kasc jeeh subbessiuaay usef Ykrgcus knehts ghbaufghn
fexmefetcmgfghe khf oetkmghe `kve kasc jeeh usef ghtrkvehcusay tc kttehukte t gs pkgh
Katerhktgve teb hgques agoe eaebtrcpuhbture khf mefgtktgch `kve kasc jeeh usef icr tcurhgquet pkgh
Vgmghn ci tcurhgquet reaekse
V`ere kre fgiiereht sb`ccas ci t`cun`t renkrfghn t`e tgmghn ci reaekse ci tcurhgquet V`ree stufges ch
tgmghn ci tcurhgquet reaekse were icuhf ghbaufghn lt ohees (0lt pktgehts wgt` uhgakterka prcbefures khf lt
pktgehts wgt` jgakterka tctka ohee krt`rcpaksty) khf 0 pktgehts icr jgakterka bkrpea tuhhea reaekse V`e stufy
nrcup wks fgvgfef ghtc twc equka nrcups (6lt pktgehts gh ekb` nrcup gh che stufy khf lt pktgehts gh t`e
sebchf stufy wgt` lt ohees w`ere tcurhgquet wks reaeksef jeicre khf lt ohees w`ere tcurhgquet wks
reaeksef kiter t`e bacsure) Gh che nrcup t`e tcurhgquet wks feiaktef jeicre wcuhf bacsure khf gh t`e
ct`er kiter wcuhf bacsure V`ere kre hc sgnhgigbkht fgiierehbes gh bcmpagbktgchs agoe pkgh cr ebb`ymcsgs gh
pktgehts gh w`cm t`e tcurhgquet wks reaeksef prgcr tc cr kiter sogh bacsure emcstksgs bchtrca wks jetter gi
gt wks reaeksef kiter wcuhf bacsure khf gt kasc `eapef febrekse t`e cperktgve tgme jy refubghn t`e tgme acst
gh kb`gevghn emcstksgs gi t`e tcurhgquet wks reaeksef prgcr tc sogh bacsure
V`e eiiebts ci feiaktgch ci tcurhgquet
Feiaktgch aekfs tc k febrekse gh mekh krtergka J sgnhgigbkhtay pkrtay cwghn tc t`e reaekse ci metkjcagtes
ircm t`e gsb`emgb agmj ghtc t`e bgrbuaktgch khf t`e febrekse gh pergp`erka vksbuakr resgstkhbe K trkhsgeht
ghbrekse gh EtBC febrekse gh temperkture khf behtrka vehcus cxyneh tehsgch kre seeh
V`e re-estkjags`meht ci jaccf iacw icaacwghn feiaktgch ci tcurhgquet bkh ghfube k pkrkfcxgbka extehsgch ci
gsb`emgb fkmkne mefgktef jy cxyneh iree rkfgbkas khf gs ohcwh ks t`e ‑reperiusgch syhfrcmerdquo V`ere
gs ghterkbtgch jetweeh t`e kbtgvktef heutrcp`gas khf t`e surikbe kf`esgch mcaebuaes ch t`e vksbuakr
ehfct`eagum Aeuocbyte ghigatrktgch jenghs khf t`e expressgch ci gscaktef heutrcp`gas BFj
BF0 ehfct`eagka beaa kf`esgch mcaebuae- (BKM-) cbburs V`gs `ks acbka khf wgfesprekf systemgb
eiiebts Kbute Zespgrktcry Fgstress Ryhfrcme (KZFR) rehka khf bkrfgkb ghdurges mky cbbur khf mkyaekf tc ct`er severe khf citeh iktka bcmpagbktgchs Zeperiusgch ghdury kasc cbburs furghn crnkh
trkhspakhtktgch kcrtgb brcss bakmpghn bkrfgkb jypkss tgssue nrkitghn khf ghtestghka resebtgchs Vrektmeht
wgt `yfrcneh suaigfe khf a-krnghghe khf pre-trektmeht wgt ghfgvgfuka mchcbachka khtgjcfges `ks
jeeh s`cwh tc agmgt t`e gsb`emgk reperiusgch ghdury
Yehcus emjcagzktgch gs khct`er bcmpagbktgch repcrtef kiter feiaktgch ci tcurhgquet espebgkaay ci t`e acwer
agmjs
BCHBAURGCH
Vcurhgquets kre useiua kgfs icr agmj prcbefures ks t`ey febrekse t`e jaccf acss furghn surnery khf prcvgfek reaktgveay jaccfaess igeaf icr t`e surnech gi usef prcperay Rkie use ci tcurhgquets jy gmpaemehtktgch ci
56
25
5559
5gt ‒ 9 9296
9599 99
999gt 90 ‒ gtlt
9gt ‒ 90
gtgt gt
gt2 ‒ gt5
gt9 ‒ gt0 gt7
0lt
0
00
02 06 05
09
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 712
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne gt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
prcper pkffghn uhferhekt` t`e tcurhgquet hct exbeefghn t`e skie agmgt ci tcurhgquet pressure khf furktgch
feiaktghn t`e tcurhgquet icr s`crt ghtervkas ci lt‒5 mgh gi t`e skie tcurhgquet tgme `ks eakpsef khf
prcvgfghn kfequkte khkanesgk jy jacbos rengchka teb`hgques cr AK fruns cr brekms GY cpgcgfs cr
khkanesgbs bkh nc k achn wky gh refubghn t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet use re-
fetermghktgch ci AC khf ghiaktghn tcurhgquets kbbcrfghnay bkh eap refube t`e bcmpagbktgchs ksscbgktef
wgt` t`e use Gt s`cuaf je kvcgfef gh pktgehts wgt` FYV pergp`erka heurcpkt`ges pergp`erka vksbuakr
fgsekse sgboae beaa fgsekse khf Zeyhkufs fgsekse cr gh smkaa surnerges ci igjuak rcper pktgehtmchgtcrghn khf bkre kiter feiaktgch khf bkreiua sekrb` icr heurcacngbka feigbgt pcstcperktgveay gi khy bkh
feighgteay mghgmgze t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet uskne Kaa t`ese meksures tc refube t`e
bcmpagbktgchs ci tcurhgquet heef tc je prcvef jy bchfubtghn akrne-sbkae rkhfcmgzef bchtrcaaef baghgbka
trgkas Mcre humjer ci rkhfcmgzef bchtrcaaef trgkas khf prcspebtgve stufges heef tc je fche tc evkaukte t`e
fgiierehtgka herve ghdurges kiter tcurhgquet use V`e hewer tcurhgquet feiaktgch fevgbes agoe R-MKZV kve
rebehtay bcme gh t`e mkroet khf akrner trgkas khf stufges heef tc je fche tc prcve t`egr eiigbkby
Iccthctes
Rcurbe ci Ruppcrt4 Hga
Bchiagbt ci Ghterest4 Hche
ZEIEZEHBER
Hccrfgh R MbEweh DK Orkn` DI Egseh K Mksrg JK Rurngbka tcurhgquets gh crt`cpkefgbs D Jche
Dcght Rurn Km ltlt774750‒9gt _ujMef4 7759]
Au B^ B`eh WR ^khn MD Mkssgve puamchkry emjcagsm kiter kppagbktgch ci kh Esmkrb` jkhfkne
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kne 2 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
t`rcmjcsgs (FYV) must je bacseay mchgtcref furghn agmj exskhnughktgch
‑cst-tcurhgquet syhfrcmerdquo mky cbbur gh pktgehts w`c kve kf tcurhgquets kppagef icr prcachnef
tgmes V`e presehtghn iektures ci t`e syhfrcme kre swcaaeh stgii pkae agmj wgt` wekohess jut hc
pkrkaysgs usukaay kiter ‒9 weeos ci tcurhgquet kppagbktgch cstcperktgve efemk gs t`e mkgh etgcacny
re-kppagbktgch prebkutgchs
V`e pressure scurbe buii renuaktcr tujghn khf bchhebtcrs heef tc je b`eboef jeicre use khf ks wgfe k
buii ks pcssgjae s`cuaf je usef gfer buiis prcvgfe jetter trkhsmgssgch ci tgssue bcmpressgch khf acwer
buii pressures kre requgref tc bcmpress t`e krtery khf ehbe mghgmgze pctehtgka pressure-reaktef
bcmpagbktgchs Gh k brcss-cver vcauhteer stufy ci lt pktgehts kaa t`e pktgehts were sujdebtef tc wgfe ks
weaa ks hkrrcw buiis khf gt wks icuhf t`kt wgfer buiis (6 bm) were aess pkghiua t`kh hkrrcw buiis (gt bm)
gi ghiaktef kt acwer pressures khf t`ey were stgaa eiiebtgve kt cbbaufghn jaccf iacw V`e buii s`cuaf hct
fgrebtay cverage jchy prcmghehbes agoe t`e `ekf ci igjuak cr mkaaecag ks t`ere gs rgso ci fgrebt herve
bcmpressgch ehbe gt gs rebcmmehfef t`kt t`e efne ci t`e tcurhgquet s`cuaf je kt aekst bm fgstka tc
t`e `ekf ci igjuak khf bm prcxgmka tc t`e mkaaecag gh bkse ci bkai buiis Gt gs rebcmmehfef t`kt
tcurhgquets je kvcgfef gh igxktgch ci sgmpae gscaktef irkbtures ci igjuak ks gt mky ghbrekse t`e tgme ci rebcvery khf pcstcperktgve bcmpagbktgchs V`e aehnt ci t`e buii s`cuaf je ghfgvgfukagzef kbbcrfghn tc
t`e sgze khf bgrbumierehbe ci t`e pktgehts agmj Gt gs rebcmmehfef t`kt t`e s`kpe s`cuaf kaacw k shun igt kt
jct` prcxgmka khf fgstka efnes V`e wgft` s`cuaf je t`e wgfest pcssgjae jut gt s`cuaf hct ehbrckb` upch
t`e surngbka sgte V`e aehnt` s`cuaf je t`e mghgmum t`kt kssures cverakp krcuhf t`e agmj suiigbgeht tc iuaay
ehnkne t`e ikstehers V`e buii s`cuaf cverakp kt aekst 2 ghb es jut hct mcre t kh 9 ghb`es ks gt mky
bkuse neherktgch ci gn` pressures
Agmjs wgt` severe ghiebtgch pktgehts wgt` pccr bkrfgkb reserve khf trkumktgzef agmjs kre reaktgve
bchtrkghfgbktgchs tc tcurhgquet use ergp`erka heurcpkt`y FYV gh t`e agmj Zeyhkufs fgsekse khf
pergp`erka vksbuakr fgsekse s`cuaf je ruaef cut jeicre bchsgferghn tcurhgquet kppagbktgch Vcurhgquets`kve jeeh usef gh pktgehts wgt` sgboae beaa fgsekse khf trkgt khf k bcmpagbktgch rkte ci 5 wks
cjservef gh icur stufges ghbaufef gh k revgew krtgbae w`gb` ghbaufef 79 pktgehts Uhevehtiua use ci t e
tcurhgquet gh sub` bkses `ks jeeh repcrtef jy ct er ghvestgnktcrs Extrk bkutgch gh t`e pergcperktgve
pergcf s`cuaf je prkbtgbef gh sub` pktgehts
rcper kppagbktgch ci tcurhgquet
V`e tcurhgquet s`cuaf je kppagef very bkreiuaay tc t`e prcxgmka pkrt ci t`e agmj kt t`e nrektest
bgrbumierehbe jebkuse t`e musbae juao kt t`kt sgte gs t`e nrektest khf `ehbe gt kiicrfs k nrekter prctebtgch
knkghst herve ghdury V`e tcurhgquet s`cuaf je igrst feiaktef khf smcct`ehef cut Kfequkte pkffghn s`cuaf
je fche kt t`kt sgte Ykrgcus types ci sogh prctebtgch pkffghn kre kvkgakjae sub` ks t`e Rciijkh sogh
prctebtgch (JRH Mefgbka Meajcurhe Kustrkagk) Ktakhteb` sogh prctebtgch frkpe (Ktakhteb` Mefgbka
Fevgbes krrcnkte UO) Yeajkhfs etb Yeajkhfs were icuhf tc je skie khf bcst-eiiebtgve sogh prctebtgch
jehekt` t`e tcurhgquet Rciijkh khf Ktakhteb` sogh prctebtgch frkpes kve jeeh icuhf tc febrekse t`e
rkte ci sogh bcmpagbktgchs ks bcmpkref tc fgrebt kppagbktgch ci tcurhgquet ch t`e sogh Rtretb`ef saeeves
mkfe ci twc-akyer tujuakr eakstgb mktergka khf mktb`ef tc t`e spebgigb tcurhgquet buiis prcfubef
sgnhgigbkhtay aesser khf aess severe pghb`es khf wrghoaghn ci t`e sogh ks bcmpkref tc ct`er agmj prctebtgch
fevgbes stufgef gh 55 fgiiereht trgkas usghn igve types ci agmj prctebtgch fevgbes Khy scautgch kppagef tc
t`e sogh must hct je kaacwef tc ruh uhferhekt` t`e tcurhgquet ks gt mky aekf tc sogh jurhs K
bgrbumierehtgka kf`esgve jkboef pakstgb frkpe kppagef dust fgstka tc t`e tcurhgquet bkh `eap gh prevehtghnt`gs V`e tcurhgquet s`cuaf je ghiaktef kiter t`e agmj ks jeeh exskhnughktef khf prepkref icr surnery
0
2
5 5
7
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5
5
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2
7
2
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 412
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 6 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
V`e skie furktgch khf pressure icr tcurhgquet
Rkie furktgch khf pressure icr tcurhgquet use remkghs k bchtrcversy Hc strgbt nugfeaghes kve jeeh akgf
fcwh K skie tgme agmgt ci ‒2 `ks jeeh fesbrgjef cracboer et ka (ltlt9) `kve icuhf k strchn
bcrreaktgch ci herve ghdury wgt` prcachnef tctka tcurhgquet tgme wgt` kh kpprcxgmkte t`reeicaf ghbrekse gh
rgso ci heurcacngbka bcmpagbktgchs icr ekb` 2lt mgh ghbrekse gh tcurhgquet ghiaktgch V`e furktgch ci
uhghterruptef tcurhgquet ghiaktgch kasc ghbreksef t e agoeag ccf ci heurka fysiuhbtgch Use ci tcurhgquet
icr 8 ` khf pressures ci 825lt mm n gh acwer extremgty khf 85lt mm n gh upper extremgty ghbreksest`e rgso ci bcmpressgch heurkprkxgk Gi 8 ` gs requgref t`e tcurhgquet s`cuaf je feiaktef icr 5 mgh icr
every 2lt mgh ci ghiaktgch tgme
Crt`cpefgb surnechs neherkaay prkbtgbe igxef ghiaktgch pressures (typgbkaay 5lt mm n icr upper krm khf
2ltlt mm n icr t`gn`) cr igxef kmcuht ci pressure kjcve systcagb krtergka pressure (typgbkaay +ltlt mm n
icr upper krm khf ltlt‒5lt mm n icr t`gn ) V`ese prkbtgbes s`cuaf hct je icaacwef ks t`ese fc hct
tkoe ghtc kbbcuht t`e kne gh jct` khf t`e jaccf pressure (J) ci t`e pktgeht gh t`e icrmer teb`hgque Ks gt
`ks jeeh ypct`esgzef jy cracboer et ka (ltlt9) ycuhner pktgehts kve acwer systcagb jaccf pressures
(RJ) khf ehbe ghiaktghn t`e tcurhgquets tc igxef pressures aekfs tc k akrner fgiierehbe jetweeh
tcurhgquet ghiaktgch pressure khf krtergka pressure aekfghn tc exbessgve bcmpressgch Use ci acwesteiiebtgve ghiaktgch pressure ks jeeh kfvcbktef tc mghgmgze tcurhgquet-reaktef herve ghdury
Agmj cbbausgch pressure (AC) ks jeeh utgagzef tc bkabuakte t`e tcurhgquet ghiaktgch pressure jy t`e
KCZH Gt gs t`e pressure gh t`e tcurhgquet kt w`gb` t`e fgstka krtergka jaccf iacw ks kssessef jy k Fcppaer
prcje `eaf cver k fgstka krtery gs cbbaufef V`gs vkaue gs neherkaay gn`er t`kh t`e RJ V`e KCZH
nugfeaghes rebcmmehf t`kt t`e tcurhgquet je ghiaktef ghtrkcperktgveay tc k pressure `gn`er t`kh t`e AC K
skiety mkrngh gs kffef tc bcver ghtrkcperktgve iaubtuktgchs gh krtergka pressure Gi AC gs 12lt mm n t`e
skiety mkrngh gs 6lt mm n icr AC 2‒7lt mm n t`e mkrngh gs 9lt mm n khf gi AC gs 87lt mm
n t`e mkrngh gs 0lt mm n Icr pefgktrgb pktgehts kffghn 5lt mm n `ks jeeh rebcmmehfef
Rtufges `kve s`cwh t`kt buii pressure jksef ch AC meksuref gmmefgkteay prgcr tc surnery gs neherkaayacwer t`kh t`e bcmmchay usef buii pressures khf gs suiigbgeht tc mkghtkgh k sktgsikbtcry surngbka igeaf
R`kw et ka (70) rebcmmehf t`kt acwest tcurhgquet pressure t`kt mkghtkghs k jaccfaess igeaf s`cuaf je
usef Aevy et ka (772) icuhf t`kt t`e mekh bkabuaktef tcurhgquet pressure wks lt2 raquo 26 mm n icr
kfequkte `emcstksgs gh t`e upper agmj w`gb` wks weaa jeacw t`e 5lt‒2ltlt mm n prevgcusay
rebcmmehfef khf irequehtay empacyef Bachgfghe ks jeeh icuhf tc exkberjkte t`e refubtgch gh mekh
krtergka J khf feakyef J rebcvery icaacwghn tcurhgquet feiaktgch prcjkjay ksscbgktef wgt` bachgfghe-
ghfubef gh`gjgtgch ci hcrkfrehkaghe reaekse Vcurhgquet reaekse kaacwghn k reperiusgch ghtervka ci lt‒2lt
mgh icaacwef jy re-ghiaktgch gs rebcmmehfef tc extehf t e furktgch ci tctka tcurhgquet tgme Rghbe t e
feiaktgch icr 5 mghutes kiter every 2lt mgh seems gmprkbtgbka ircm t`e surngbka pcght ci vgew sc icr kaa
prkbtgbka purpcses gt s`cuaf je feiaktef icr kt aekst lt mghutes gi t`e surngbka tgme gs mcre t kh `r V`gs gs
kasc suppcrtef jy k survey jy Cfghhsch et ka w`eregh gt `ks jeeh s`cwh t`ktmcst ci t`e crt`cpefgb
surnechs ieat t`kt k 5-mgh feiaktgch tgme kiter ` tcurhgquet tgme wks skie V`e ghbgfehbe ci repcrtef
bcmpagbktgchs gh t`gs survey wks 9 gh 92606 bkses Igiteeh cut ci t`ese were heurcacngbka gh hkture cut
ci w`gb` twc were permkheht Achner furktgch ci feiaktgch ks jeeh ksscbgktef wgt` k mcfest febrekse
gh irequehby ci heurcacngbka bcmpagbktgchs Gt gs bchbaufef t`kt t e tcurhgquet s`cuaf je ghiaktef
kbbcrfghn tc t`e AC khf s`cuaf je feiaktef kiter ` icr t`e acwer agmj khf kiter ` icr t`e upper agmj
icr kt aekst lt mghutes
Zebcmmehfktgchs icr t`e skie use ci tcurhgquet
V`e KCZH jckrf ci fgrebtcrs `ks kpprcvef t e icaacwghn prkbtgbes icr t`e skie use ci tcurhgquets V`ese
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6
62
66
6
6
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 512
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 5 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
kre eiiebtgve ircm Dkhukry ltltgt
ktgeht skiety s`cuaf je t`e prgmkry bchsgferktgch gh evkauktgch seaebtgch purb`kse khf use ci t`e
pheumktgb tcurhgquet khf kbbesscrges V`e tcurhgquet khf gts kbbesscrges s`cuaf je ghspebtef testef khf
mkghtkghef kbbcrfghn tc mkhuikbturers wrgtteh ghstrubtgchs V`e pergcperktgve hurse s`cuaf kssess t`e
pktgeht precperktgveay icr rgsos khf repcrt pctehtgka bchtrkghfgbktgchs tc t`e surnech V`e pheumktgb
tcurhgquet s`cuaf je bchhebtef tc t`e kpprcprgkte pcwernks scurbe t`e bcmpchehts s`cuaf je khfaef
khf t`e buii kppagef gh k mkhher tc mghgmgze t`e rgso ci pktgeht ghdury V`e extremgty s`cuaf je
exskhnughktef jeicre ghiaktgch ci t`e tcurhgquet Vcurhgquet ghiaktgch pressure s`cuaf je oept tc t`e
mghgmum eiiebtgve pressure Ghiaktgch tgme s`cuaf je oept tc k mghgmum khf feiaktgch mkhknef tc
mghgmgze rgsos tc t`e pktgeht V`e pktgeht s`cuaf je mchgtcref bchtghucusay wgt` spebgka bchsgferktgch tc
pkrkmeters agoe `ypertehsgch khf tkb`ybkrfgk ks k surrcnkte ci tcurhgquet pkgh khf temperkture ci t`e agmj
w`gae t`e tcurhgquet buii gs ghiaktef V`e pergcperktgve rengsteref hurse s`cuaf evkaukte t`e cutbcme ci t`e
pktgeht bkre kt t e ehf ci t`e prcbefure Kffgtgchka bkre s`cuaf je tkoeh gh prcbefures ghvcavghn
tcurhgquet bchtrca ch twc extremgtges jebkuse t`e rgso ci bcmpagbktgchs khf t`e systemgb eiiebts ci
tcurhgquet use mky je ghbreksef ctehtgka pktgeht ghdurges khf bcmpagbktgchs ksscbgktef wgt` ghtrkvehcus
rengchka khest`esgk (GYZK Jgers jacbo) s`cuaf je gfehtgigef khf skie prkbtgbes estkjags`ef V`e
tcurhgquet user s`cuaf kve k very baekr uhferstkhfghn ks tc t`e sequehbe ci ghiaktgch khf feiaktgch w`eh
usghn k fuka jakffer buii cr twc sghnae jakffer buiis Kaaernges tc acbka khest`etgb scautgchs s`cuaf je ruaef
cut jeicre khf Revere ghdurges khf eveh fekt`s kve jeeh repcrtef w`eh t`e wrchn buii wks feiaktef
V`e tcurhgquet khf kbbesscrges s`cuaf je baekhef kiter ekb` use ktgeht kssessmehts pakh ci bkre
ghtervehtgchs gmpaemehtef khf evkauktgch ci bkre reaktef tc use ci k pheumktgb tcurhgquet s`cuaf je
fcbumehtef Efubktgch bcmpetehby kssessmeht khf vkagfktgch s`cuaf je bchfubtef jeicre t`e
pergcperktgve rengsteref hurse mkhknes t`e bkre ci k pktgeht usghn k pheumktgb tcurhgquet cagbges khf
prcbefures icr pheumktgb tcurhgquets s`cuaf je feveacpef revgewef pergcfgbkaay revgsef khf upfktef ks
hebesskry khf s`cuaf je kvkgakjae icr rekfy reierehbe gh t`e prkbtgbe settghn V`e ekat` bkre crnkhgzktgchs
qukagty mkhknemeht prcnrkm s`cuaf ghbaufe ghvestgnktgch ci kfverse evehts khf hekr mgsses ksscbgktefwgt` t`e use ci k pheumktgb tcurhgquet
V`e Ksscbgktgch ci Rurngbka Veb`hcacngsts (KRV) `ks kasc rebcmmehfef t`kt t`e surngbka tekm memjers
s`cuaf bcmpaete trkghghn tc femchstrkte t`e ohcwaefne khf bcmpetehby gh prcper use ci t`e pheumktgb
tcurhgquet Fcbumehtktgch ci t`e use ci tcurhgquet s`cuaf je ghbaufef gh t`e pktgehts cperktgch t`ekter
rebcrfs
V`gn` tcurhgquet s`cuaf hct je ghiaktef wgt` t`e ohee gh t`e iaexef pcsgtgch icaacwef jy aen strkgn`tehghn
ks t`gs igxktes t`e sbgktgb herve tc t`e iemur khf bkuses extreme trkbtgch ch t`e herve
Jruher `kf akgf fcwh lt ruaes icr t`e skie use ci tcurhgquet w`gb` `kve jeeh mcfgigef jy Jrkgt`wkgte khfOaehermkh khf kre ngveh gh Vkjae
Fgngtka tcurhgquets gh t`e icrm ci rcaaef nacve ehrcse frkgh cr bkt`eters kve jeeh s`cwh tc neherkte
wgfe rkhnes ci pressures ehbe skie use nugfeaghes were akgf fcwh jy R`kw et ka jy meksurghn
p`ysgcacngbka pressures Vcurhgquets `kve kasc jeeh usef gh igxktgch ci bacsef irkbtures khf
ghtrkmefuaakry hkgaghn fgkjetgb icct kmputktgchs khf trkumk khf wkr sgtuktgchs gh t e kjsehbe ci
s`cbo regmpakhtktgch khf mgbrcvksbuakr prcbefures
Vcurhgquet pkgh4 Gts bkuse khf mkhknemeht
V`e baghgbka syhfrcme ci tcurhgquet pkgh bchsgsts ci severka bcmpchehts khf gs hct dust fue tc t`e pkgh khf pressure uhfer t`e tcurhgquet V`e smkaaer uhmyeaghktef B-igjers kre mcre resgstkht tc acbka khest`etgb
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7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 612
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 9 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
(AK) ghfubef bchfubtgch jacbo ks bcmpkref tc t`e akrner myeaghktef K-igjers Kiter ghtrkt`ebka
kfmghgstrktgch ci kh kfequkte fcse ci AK bchfubtgch gh jct` K- khf B-igjers gs jacboef Jut ks t`e
bchbehtrktgch ci AK gh t`e berejrcspghka iaugf (BRI) febrekses t`e B-igjers stkrt bchfubtghn gmpuases
jeicre t`e K-igjers resuatghn gh k fuaa tcurhgquet pkgh gh t e presehbe ci kh khest`etgb w`gb` w`eh
kssessef jy pgh prgbo kppekrs kfequkte
Eutebtgb mgxture ci acbka khest`etgb (EMAK) brekm kppagbktgch AKs ngveh vgk t`e heurkxgka rcute
wgt` cr wgt`cut cpgcgfs cr GYZK `kve jeeh usef tc kttehukte tcurhgquet-ghfubef pkgh
Mknhesgum suaikte oetkmghe khf oetcrcakb `kve kasc jeeh usef ks kfduvkhts gh GYZK wgt`
vkrgkjae resuats Bachgfghe ks kasc jeeh subbessiuaay usef Ykrgcus knehts ghbaufghn
fexmefetcmgfghe khf oetkmghe `kve kasc jeeh usef ghtrkvehcusay tc kttehukte t gs pkgh
Katerhktgve teb hgques agoe eaebtrcpuhbture khf mefgtktgch `kve kasc jeeh usef icr tcurhgquet pkgh
Vgmghn ci tcurhgquet reaekse
V`ere kre fgiiereht sb`ccas ci t`cun`t renkrfghn t`e tgmghn ci reaekse ci tcurhgquet V`ree stufges ch
tgmghn ci tcurhgquet reaekse were icuhf ghbaufghn lt ohees (0lt pktgehts wgt` uhgakterka prcbefures khf lt
pktgehts wgt` jgakterka tctka ohee krt`rcpaksty) khf 0 pktgehts icr jgakterka bkrpea tuhhea reaekse V`e stufy
nrcup wks fgvgfef ghtc twc equka nrcups (6lt pktgehts gh ekb` nrcup gh che stufy khf lt pktgehts gh t`e
sebchf stufy wgt` lt ohees w`ere tcurhgquet wks reaeksef jeicre khf lt ohees w`ere tcurhgquet wks
reaeksef kiter t`e bacsure) Gh che nrcup t`e tcurhgquet wks feiaktef jeicre wcuhf bacsure khf gh t`e
ct`er kiter wcuhf bacsure V`ere kre hc sgnhgigbkht fgiierehbes gh bcmpagbktgchs agoe pkgh cr ebb`ymcsgs gh
pktgehts gh w`cm t`e tcurhgquet wks reaeksef prgcr tc cr kiter sogh bacsure emcstksgs bchtrca wks jetter gi
gt wks reaeksef kiter wcuhf bacsure khf gt kasc `eapef febrekse t`e cperktgve tgme jy refubghn t`e tgme acst
gh kb`gevghn emcstksgs gi t`e tcurhgquet wks reaeksef prgcr tc sogh bacsure
V`e eiiebts ci feiaktgch ci tcurhgquet
Feiaktgch aekfs tc k febrekse gh mekh krtergka J sgnhgigbkhtay pkrtay cwghn tc t`e reaekse ci metkjcagtes
ircm t`e gsb`emgb agmj ghtc t`e bgrbuaktgch khf t`e febrekse gh pergp`erka vksbuakr resgstkhbe K trkhsgeht
ghbrekse gh EtBC febrekse gh temperkture khf behtrka vehcus cxyneh tehsgch kre seeh
V`e re-estkjags`meht ci jaccf iacw icaacwghn feiaktgch ci tcurhgquet bkh ghfube k pkrkfcxgbka extehsgch ci
gsb`emgb fkmkne mefgktef jy cxyneh iree rkfgbkas khf gs ohcwh ks t`e ‑reperiusgch syhfrcmerdquo V`ere
gs ghterkbtgch jetweeh t`e kbtgvktef heutrcp`gas khf t`e surikbe kf`esgch mcaebuaes ch t`e vksbuakr
ehfct`eagum Aeuocbyte ghigatrktgch jenghs khf t`e expressgch ci gscaktef heutrcp`gas BFj
BF0 ehfct`eagka beaa kf`esgch mcaebuae- (BKM-) cbburs V`gs `ks acbka khf wgfesprekf systemgb
eiiebts Kbute Zespgrktcry Fgstress Ryhfrcme (KZFR) rehka khf bkrfgkb ghdurges mky cbbur khf mkyaekf tc ct`er severe khf citeh iktka bcmpagbktgchs Zeperiusgch ghdury kasc cbburs furghn crnkh
trkhspakhtktgch kcrtgb brcss bakmpghn bkrfgkb jypkss tgssue nrkitghn khf ghtestghka resebtgchs Vrektmeht
wgt `yfrcneh suaigfe khf a-krnghghe khf pre-trektmeht wgt ghfgvgfuka mchcbachka khtgjcfges `ks
jeeh s`cwh tc agmgt t`e gsb`emgk reperiusgch ghdury
Yehcus emjcagzktgch gs khct`er bcmpagbktgch repcrtef kiter feiaktgch ci tcurhgquet espebgkaay ci t`e acwer
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mcaebuae- gh rkt wgt` gsb`emgkreperiusgch khf agmgtktgch ci ghikrbt sgze jy trektmeht wgt` khtgjcfges
knkghst beaa kf`esgch mcaebuaes Km D kt`ca 7726246lt‒0 _MBGF4 MB00gtlt2]
_ujMef4 0ltlt2lt]
0 Akh ^ krmch F ^khn D N`crg O R`crteh N Zefmchf V`e eiiebt ci agfcbkghe ch gh vgtrc
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1212
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
khf ohee krt`rcpaksty D Yksb Rurn ltlt2204gtlt‒gt _ujMef4 6909lt6]
02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
extrkbeaauakr bkabgum bchbehtrktgch ch `ypcxgkrecxynehktgch khf gsb`emgkreperiusgch-ghfubef bkrfgkbghdury D `krmkbca Exp V`er 70604gt9‒0 _ujMef4 9gtltgt76]
06 Earcf D^ Bkavert D^ Furkhsog MZ Aeier FD yfrcneh suap`gfe fchcr prctebts knkghst kbute
mycbkrfgka gsb`emgk-reperiusgch ghdury Bgrbuaktgch ltlt964gt
05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
katers t`e oghetgbs ci hgtrgb cxgfe khf supercxgfe reaekse khf refubes gsb`emgkreperiusgch ghdury gh soeaetka
musbae Bgrbuaktgch 77gt79499gt‒gt5 _ujMef4 7666]
09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
acwer extremgty tcurhgquets Khest` Khkan 776gt04267‒52 _ujMef4 0207]
Ignures khf Vkjaes
Vkjae
Jruhers teh ruaes icr t`e skie use ci tcurhgquet (Mcfgigef jy Jkrgt`wkgte khf Oaehermkh)
Krtgbaes ircm Ghfgkh Dcurhka ci Crt`cpkefgbs kre prcvgfef `ere bcurtesy ci Mefohcw ujagbktgchs
6gt
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 412
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 6 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
V`e skie furktgch khf pressure icr tcurhgquet
Rkie furktgch khf pressure icr tcurhgquet use remkghs k bchtrcversy Hc strgbt nugfeaghes kve jeeh akgf
fcwh K skie tgme agmgt ci ‒2 `ks jeeh fesbrgjef cracboer et ka (ltlt9) `kve icuhf k strchn
bcrreaktgch ci herve ghdury wgt` prcachnef tctka tcurhgquet tgme wgt` kh kpprcxgmkte t`reeicaf ghbrekse gh
rgso ci heurcacngbka bcmpagbktgchs icr ekb` 2lt mgh ghbrekse gh tcurhgquet ghiaktgch V`e furktgch ci
uhghterruptef tcurhgquet ghiaktgch kasc ghbreksef t e agoeag ccf ci heurka fysiuhbtgch Use ci tcurhgquet
icr 8 ` khf pressures ci 825lt mm n gh acwer extremgty khf 85lt mm n gh upper extremgty ghbreksest`e rgso ci bcmpressgch heurkprkxgk Gi 8 ` gs requgref t`e tcurhgquet s`cuaf je feiaktef icr 5 mgh icr
every 2lt mgh ci ghiaktgch tgme
Crt`cpefgb surnechs neherkaay prkbtgbe igxef ghiaktgch pressures (typgbkaay 5lt mm n icr upper krm khf
2ltlt mm n icr t`gn`) cr igxef kmcuht ci pressure kjcve systcagb krtergka pressure (typgbkaay +ltlt mm n
icr upper krm khf ltlt‒5lt mm n icr t`gn ) V`ese prkbtgbes s`cuaf hct je icaacwef ks t`ese fc hct
tkoe ghtc kbbcuht t`e kne gh jct` khf t`e jaccf pressure (J) ci t`e pktgeht gh t`e icrmer teb`hgque Ks gt
`ks jeeh ypct`esgzef jy cracboer et ka (ltlt9) ycuhner pktgehts kve acwer systcagb jaccf pressures
(RJ) khf ehbe ghiaktghn t`e tcurhgquets tc igxef pressures aekfs tc k akrner fgiierehbe jetweeh
tcurhgquet ghiaktgch pressure khf krtergka pressure aekfghn tc exbessgve bcmpressgch Use ci acwesteiiebtgve ghiaktgch pressure ks jeeh kfvcbktef tc mghgmgze tcurhgquet-reaktef herve ghdury
Agmj cbbausgch pressure (AC) ks jeeh utgagzef tc bkabuakte t`e tcurhgquet ghiaktgch pressure jy t`e
KCZH Gt gs t`e pressure gh t`e tcurhgquet kt w`gb` t`e fgstka krtergka jaccf iacw ks kssessef jy k Fcppaer
prcje `eaf cver k fgstka krtery gs cbbaufef V`gs vkaue gs neherkaay gn`er t`kh t`e RJ V`e KCZH
nugfeaghes rebcmmehf t`kt t`e tcurhgquet je ghiaktef ghtrkcperktgveay tc k pressure `gn`er t`kh t`e AC K
skiety mkrngh gs kffef tc bcver ghtrkcperktgve iaubtuktgchs gh krtergka pressure Gi AC gs 12lt mm n t`e
skiety mkrngh gs 6lt mm n icr AC 2‒7lt mm n t`e mkrngh gs 9lt mm n khf gi AC gs 87lt mm
n t`e mkrngh gs 0lt mm n Icr pefgktrgb pktgehts kffghn 5lt mm n `ks jeeh rebcmmehfef
Rtufges `kve s`cwh t`kt buii pressure jksef ch AC meksuref gmmefgkteay prgcr tc surnery gs neherkaayacwer t`kh t`e bcmmchay usef buii pressures khf gs suiigbgeht tc mkghtkgh k sktgsikbtcry surngbka igeaf
R`kw et ka (70) rebcmmehf t`kt acwest tcurhgquet pressure t`kt mkghtkghs k jaccfaess igeaf s`cuaf je
usef Aevy et ka (772) icuhf t`kt t`e mekh bkabuaktef tcurhgquet pressure wks lt2 raquo 26 mm n icr
kfequkte `emcstksgs gh t`e upper agmj w`gb` wks weaa jeacw t`e 5lt‒2ltlt mm n prevgcusay
rebcmmehfef khf irequehtay empacyef Bachgfghe ks jeeh icuhf tc exkberjkte t`e refubtgch gh mekh
krtergka J khf feakyef J rebcvery icaacwghn tcurhgquet feiaktgch prcjkjay ksscbgktef wgt` bachgfghe-
ghfubef gh`gjgtgch ci hcrkfrehkaghe reaekse Vcurhgquet reaekse kaacwghn k reperiusgch ghtervka ci lt‒2lt
mgh icaacwef jy re-ghiaktgch gs rebcmmehfef tc extehf t e furktgch ci tctka tcurhgquet tgme Rghbe t e
feiaktgch icr 5 mghutes kiter every 2lt mgh seems gmprkbtgbka ircm t`e surngbka pcght ci vgew sc icr kaa
prkbtgbka purpcses gt s`cuaf je feiaktef icr kt aekst lt mghutes gi t`e surngbka tgme gs mcre t kh `r V`gs gs
kasc suppcrtef jy k survey jy Cfghhsch et ka w`eregh gt `ks jeeh s`cwh t`ktmcst ci t`e crt`cpefgb
surnechs ieat t`kt k 5-mgh feiaktgch tgme kiter ` tcurhgquet tgme wks skie V`e ghbgfehbe ci repcrtef
bcmpagbktgchs gh t`gs survey wks 9 gh 92606 bkses Igiteeh cut ci t`ese were heurcacngbka gh hkture cut
ci w`gb` twc were permkheht Achner furktgch ci feiaktgch ks jeeh ksscbgktef wgt` k mcfest febrekse
gh irequehby ci heurcacngbka bcmpagbktgchs Gt gs bchbaufef t`kt t e tcurhgquet s`cuaf je ghiaktef
kbbcrfghn tc t`e AC khf s`cuaf je feiaktef kiter ` icr t`e acwer agmj khf kiter ` icr t`e upper agmj
icr kt aekst lt mghutes
Zebcmmehfktgchs icr t`e skie use ci tcurhgquet
V`e KCZH jckrf ci fgrebtcrs `ks kpprcvef t e icaacwghn prkbtgbes icr t`e skie use ci tcurhgquets V`ese
22
6
26
25
2
29
2gt 20
27
6lt
6
6
62
66
6
6
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 512
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 5 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
kre eiiebtgve ircm Dkhukry ltltgt
ktgeht skiety s`cuaf je t`e prgmkry bchsgferktgch gh evkauktgch seaebtgch purb`kse khf use ci t`e
pheumktgb tcurhgquet khf kbbesscrges V`e tcurhgquet khf gts kbbesscrges s`cuaf je ghspebtef testef khf
mkghtkghef kbbcrfghn tc mkhuikbturers wrgtteh ghstrubtgchs V`e pergcperktgve hurse s`cuaf kssess t`e
pktgeht precperktgveay icr rgsos khf repcrt pctehtgka bchtrkghfgbktgchs tc t`e surnech V`e pheumktgb
tcurhgquet s`cuaf je bchhebtef tc t`e kpprcprgkte pcwernks scurbe t`e bcmpchehts s`cuaf je khfaef
khf t`e buii kppagef gh k mkhher tc mghgmgze t`e rgso ci pktgeht ghdury V`e extremgty s`cuaf je
exskhnughktef jeicre ghiaktgch ci t`e tcurhgquet Vcurhgquet ghiaktgch pressure s`cuaf je oept tc t`e
mghgmum eiiebtgve pressure Ghiaktgch tgme s`cuaf je oept tc k mghgmum khf feiaktgch mkhknef tc
mghgmgze rgsos tc t`e pktgeht V`e pktgeht s`cuaf je mchgtcref bchtghucusay wgt` spebgka bchsgferktgch tc
pkrkmeters agoe `ypertehsgch khf tkb`ybkrfgk ks k surrcnkte ci tcurhgquet pkgh khf temperkture ci t`e agmj
w`gae t`e tcurhgquet buii gs ghiaktef V`e pergcperktgve rengsteref hurse s`cuaf evkaukte t`e cutbcme ci t`e
pktgeht bkre kt t e ehf ci t`e prcbefure Kffgtgchka bkre s`cuaf je tkoeh gh prcbefures ghvcavghn
tcurhgquet bchtrca ch twc extremgtges jebkuse t`e rgso ci bcmpagbktgchs khf t`e systemgb eiiebts ci
tcurhgquet use mky je ghbreksef ctehtgka pktgeht ghdurges khf bcmpagbktgchs ksscbgktef wgt` ghtrkvehcus
rengchka khest`esgk (GYZK Jgers jacbo) s`cuaf je gfehtgigef khf skie prkbtgbes estkjags`ef V`e
tcurhgquet user s`cuaf kve k very baekr uhferstkhfghn ks tc t`e sequehbe ci ghiaktgch khf feiaktgch w`eh
usghn k fuka jakffer buii cr twc sghnae jakffer buiis Kaaernges tc acbka khest`etgb scautgchs s`cuaf je ruaef
cut jeicre khf Revere ghdurges khf eveh fekt`s kve jeeh repcrtef w`eh t`e wrchn buii wks feiaktef
V`e tcurhgquet khf kbbesscrges s`cuaf je baekhef kiter ekb` use ktgeht kssessmehts pakh ci bkre
ghtervehtgchs gmpaemehtef khf evkauktgch ci bkre reaktef tc use ci k pheumktgb tcurhgquet s`cuaf je
fcbumehtef Efubktgch bcmpetehby kssessmeht khf vkagfktgch s`cuaf je bchfubtef jeicre t`e
pergcperktgve rengsteref hurse mkhknes t`e bkre ci k pktgeht usghn k pheumktgb tcurhgquet cagbges khf
prcbefures icr pheumktgb tcurhgquets s`cuaf je feveacpef revgewef pergcfgbkaay revgsef khf upfktef ks
hebesskry khf s`cuaf je kvkgakjae icr rekfy reierehbe gh t`e prkbtgbe settghn V`e ekat` bkre crnkhgzktgchs
qukagty mkhknemeht prcnrkm s`cuaf ghbaufe ghvestgnktgch ci kfverse evehts khf hekr mgsses ksscbgktefwgt` t`e use ci k pheumktgb tcurhgquet
V`e Ksscbgktgch ci Rurngbka Veb`hcacngsts (KRV) `ks kasc rebcmmehfef t`kt t`e surngbka tekm memjers
s`cuaf bcmpaete trkghghn tc femchstrkte t`e ohcwaefne khf bcmpetehby gh prcper use ci t`e pheumktgb
tcurhgquet Fcbumehtktgch ci t`e use ci tcurhgquet s`cuaf je ghbaufef gh t`e pktgehts cperktgch t`ekter
rebcrfs
V`gn` tcurhgquet s`cuaf hct je ghiaktef wgt` t`e ohee gh t`e iaexef pcsgtgch icaacwef jy aen strkgn`tehghn
ks t`gs igxktes t`e sbgktgb herve tc t`e iemur khf bkuses extreme trkbtgch ch t`e herve
Jruher `kf akgf fcwh lt ruaes icr t`e skie use ci tcurhgquet w`gb` `kve jeeh mcfgigef jy Jrkgt`wkgte khfOaehermkh khf kre ngveh gh Vkjae
Fgngtka tcurhgquets gh t`e icrm ci rcaaef nacve ehrcse frkgh cr bkt`eters kve jeeh s`cwh tc neherkte
wgfe rkhnes ci pressures ehbe skie use nugfeaghes were akgf fcwh jy R`kw et ka jy meksurghn
p`ysgcacngbka pressures Vcurhgquets `kve kasc jeeh usef gh igxktgch ci bacsef irkbtures khf
ghtrkmefuaakry hkgaghn fgkjetgb icct kmputktgchs khf trkumk khf wkr sgtuktgchs gh t e kjsehbe ci
s`cbo regmpakhtktgch khf mgbrcvksbuakr prcbefures
Vcurhgquet pkgh4 Gts bkuse khf mkhknemeht
V`e baghgbka syhfrcme ci tcurhgquet pkgh bchsgsts ci severka bcmpchehts khf gs hct dust fue tc t`e pkgh khf pressure uhfer t`e tcurhgquet V`e smkaaer uhmyeaghktef B-igjers kre mcre resgstkht tc acbka khest`etgb
65
2
69
6gt
60
60
67 5lt
5 5
52
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 612
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne 9 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
(AK) ghfubef bchfubtgch jacbo ks bcmpkref tc t`e akrner myeaghktef K-igjers Kiter ghtrkt`ebka
kfmghgstrktgch ci kh kfequkte fcse ci AK bchfubtgch gh jct` K- khf B-igjers gs jacboef Jut ks t`e
bchbehtrktgch ci AK gh t`e berejrcspghka iaugf (BRI) febrekses t`e B-igjers stkrt bchfubtghn gmpuases
jeicre t`e K-igjers resuatghn gh k fuaa tcurhgquet pkgh gh t e presehbe ci kh khest`etgb w`gb` w`eh
kssessef jy pgh prgbo kppekrs kfequkte
Eutebtgb mgxture ci acbka khest`etgb (EMAK) brekm kppagbktgch AKs ngveh vgk t`e heurkxgka rcute
wgt` cr wgt`cut cpgcgfs cr GYZK `kve jeeh usef tc kttehukte tcurhgquet-ghfubef pkgh
Mknhesgum suaikte oetkmghe khf oetcrcakb `kve kasc jeeh usef ks kfduvkhts gh GYZK wgt`
vkrgkjae resuats Bachgfghe ks kasc jeeh subbessiuaay usef Ykrgcus knehts ghbaufghn
fexmefetcmgfghe khf oetkmghe `kve kasc jeeh usef ghtrkvehcusay tc kttehukte t gs pkgh
Katerhktgve teb hgques agoe eaebtrcpuhbture khf mefgtktgch `kve kasc jeeh usef icr tcurhgquet pkgh
Vgmghn ci tcurhgquet reaekse
V`ere kre fgiiereht sb`ccas ci t`cun`t renkrfghn t`e tgmghn ci reaekse ci tcurhgquet V`ree stufges ch
tgmghn ci tcurhgquet reaekse were icuhf ghbaufghn lt ohees (0lt pktgehts wgt` uhgakterka prcbefures khf lt
pktgehts wgt` jgakterka tctka ohee krt`rcpaksty) khf 0 pktgehts icr jgakterka bkrpea tuhhea reaekse V`e stufy
nrcup wks fgvgfef ghtc twc equka nrcups (6lt pktgehts gh ekb` nrcup gh che stufy khf lt pktgehts gh t`e
sebchf stufy wgt` lt ohees w`ere tcurhgquet wks reaeksef jeicre khf lt ohees w`ere tcurhgquet wks
reaeksef kiter t`e bacsure) Gh che nrcup t`e tcurhgquet wks feiaktef jeicre wcuhf bacsure khf gh t`e
ct`er kiter wcuhf bacsure V`ere kre hc sgnhgigbkht fgiierehbes gh bcmpagbktgchs agoe pkgh cr ebb`ymcsgs gh
pktgehts gh w`cm t`e tcurhgquet wks reaeksef prgcr tc cr kiter sogh bacsure emcstksgs bchtrca wks jetter gi
gt wks reaeksef kiter wcuhf bacsure khf gt kasc `eapef febrekse t`e cperktgve tgme jy refubghn t`e tgme acst
gh kb`gevghn emcstksgs gi t`e tcurhgquet wks reaeksef prgcr tc sogh bacsure
V`e eiiebts ci feiaktgch ci tcurhgquet
Feiaktgch aekfs tc k febrekse gh mekh krtergka J sgnhgigbkhtay pkrtay cwghn tc t`e reaekse ci metkjcagtes
ircm t`e gsb`emgb agmj ghtc t`e bgrbuaktgch khf t`e febrekse gh pergp`erka vksbuakr resgstkhbe K trkhsgeht
ghbrekse gh EtBC febrekse gh temperkture khf behtrka vehcus cxyneh tehsgch kre seeh
V`e re-estkjags`meht ci jaccf iacw icaacwghn feiaktgch ci tcurhgquet bkh ghfube k pkrkfcxgbka extehsgch ci
gsb`emgb fkmkne mefgktef jy cxyneh iree rkfgbkas khf gs ohcwh ks t`e ‑reperiusgch syhfrcmerdquo V`ere
gs ghterkbtgch jetweeh t`e kbtgvktef heutrcp`gas khf t`e surikbe kf`esgch mcaebuaes ch t`e vksbuakr
ehfct`eagum Aeuocbyte ghigatrktgch jenghs khf t`e expressgch ci gscaktef heutrcp`gas BFj
BF0 ehfct`eagka beaa kf`esgch mcaebuae- (BKM-) cbburs V`gs `ks acbka khf wgfesprekf systemgb
eiiebts Kbute Zespgrktcry Fgstress Ryhfrcme (KZFR) rehka khf bkrfgkb ghdurges mky cbbur khf mkyaekf tc ct`er severe khf citeh iktka bcmpagbktgchs Zeperiusgch ghdury kasc cbburs furghn crnkh
trkhspakhtktgch kcrtgb brcss bakmpghn bkrfgkb jypkss tgssue nrkitghn khf ghtestghka resebtgchs Vrektmeht
wgt `yfrcneh suaigfe khf a-krnghghe khf pre-trektmeht wgt ghfgvgfuka mchcbachka khtgjcfges `ks
jeeh s`cwh tc agmgt t`e gsb`emgk reperiusgch ghdury
Yehcus emjcagzktgch gs khct`er bcmpagbktgch repcrtef kiter feiaktgch ci tcurhgquet espebgkaay ci t`e acwer
agmjs
BCHBAURGCH
Vcurhgquets kre useiua kgfs icr agmj prcbefures ks t`ey febrekse t`e jaccf acss furghn surnery khf prcvgfek reaktgveay jaccfaess igeaf icr t`e surnech gi usef prcperay Rkie use ci tcurhgquets jy gmpaemehtktgch ci
56
25
5559
5gt ‒ 9 9296
9599 99
999gt 90 ‒ gtlt
9gt ‒ 90
gtgt gt
gt2 ‒ gt5
gt9 ‒ gt0 gt7
0lt
0
00
02 06 05
09
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 712
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne gt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
prcper pkffghn uhferhekt` t`e tcurhgquet hct exbeefghn t`e skie agmgt ci tcurhgquet pressure khf furktgch
feiaktghn t`e tcurhgquet icr s`crt ghtervkas ci lt‒5 mgh gi t`e skie tcurhgquet tgme `ks eakpsef khf
prcvgfghn kfequkte khkanesgk jy jacbos rengchka teb`hgques cr AK fruns cr brekms GY cpgcgfs cr
khkanesgbs bkh nc k achn wky gh refubghn t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet use re-
fetermghktgch ci AC khf ghiaktghn tcurhgquets kbbcrfghnay bkh eap refube t`e bcmpagbktgchs ksscbgktef
wgt` t`e use Gt s`cuaf je kvcgfef gh pktgehts wgt` FYV pergp`erka heurcpkt`ges pergp`erka vksbuakr
fgsekse sgboae beaa fgsekse khf Zeyhkufs fgsekse cr gh smkaa surnerges ci igjuak rcper pktgehtmchgtcrghn khf bkre kiter feiaktgch khf bkreiua sekrb` icr heurcacngbka feigbgt pcstcperktgveay gi khy bkh
feighgteay mghgmgze t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet uskne Kaa t`ese meksures tc refube t`e
bcmpagbktgchs ci tcurhgquet heef tc je prcvef jy bchfubtghn akrne-sbkae rkhfcmgzef bchtrcaaef baghgbka
trgkas Mcre humjer ci rkhfcmgzef bchtrcaaef trgkas khf prcspebtgve stufges heef tc je fche tc evkaukte t`e
fgiierehtgka herve ghdurges kiter tcurhgquet use V`e hewer tcurhgquet feiaktgch fevgbes agoe R-MKZV kve
rebehtay bcme gh t`e mkroet khf akrner trgkas khf stufges heef tc je fche tc prcve t`egr eiigbkby
Iccthctes
Rcurbe ci Ruppcrt4 Hga
Bchiagbt ci Ghterest4 Hche
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kre eiiebtgve ircm Dkhukry ltltgt
ktgeht skiety s`cuaf je t`e prgmkry bchsgferktgch gh evkauktgch seaebtgch purb`kse khf use ci t`e
pheumktgb tcurhgquet khf kbbesscrges V`e tcurhgquet khf gts kbbesscrges s`cuaf je ghspebtef testef khf
mkghtkghef kbbcrfghn tc mkhuikbturers wrgtteh ghstrubtgchs V`e pergcperktgve hurse s`cuaf kssess t`e
pktgeht precperktgveay icr rgsos khf repcrt pctehtgka bchtrkghfgbktgchs tc t`e surnech V`e pheumktgb
tcurhgquet s`cuaf je bchhebtef tc t`e kpprcprgkte pcwernks scurbe t`e bcmpchehts s`cuaf je khfaef
khf t`e buii kppagef gh k mkhher tc mghgmgze t`e rgso ci pktgeht ghdury V`e extremgty s`cuaf je
exskhnughktef jeicre ghiaktgch ci t`e tcurhgquet Vcurhgquet ghiaktgch pressure s`cuaf je oept tc t`e
mghgmum eiiebtgve pressure Ghiaktgch tgme s`cuaf je oept tc k mghgmum khf feiaktgch mkhknef tc
mghgmgze rgsos tc t`e pktgeht V`e pktgeht s`cuaf je mchgtcref bchtghucusay wgt` spebgka bchsgferktgch tc
pkrkmeters agoe `ypertehsgch khf tkb`ybkrfgk ks k surrcnkte ci tcurhgquet pkgh khf temperkture ci t`e agmj
w`gae t`e tcurhgquet buii gs ghiaktef V`e pergcperktgve rengsteref hurse s`cuaf evkaukte t`e cutbcme ci t`e
pktgeht bkre kt t e ehf ci t`e prcbefure Kffgtgchka bkre s`cuaf je tkoeh gh prcbefures ghvcavghn
tcurhgquet bchtrca ch twc extremgtges jebkuse t`e rgso ci bcmpagbktgchs khf t`e systemgb eiiebts ci
tcurhgquet use mky je ghbreksef ctehtgka pktgeht ghdurges khf bcmpagbktgchs ksscbgktef wgt` ghtrkvehcus
rengchka khest`esgk (GYZK Jgers jacbo) s`cuaf je gfehtgigef khf skie prkbtgbes estkjags`ef V`e
tcurhgquet user s`cuaf kve k very baekr uhferstkhfghn ks tc t`e sequehbe ci ghiaktgch khf feiaktgch w`eh
usghn k fuka jakffer buii cr twc sghnae jakffer buiis Kaaernges tc acbka khest`etgb scautgchs s`cuaf je ruaef
cut jeicre khf Revere ghdurges khf eveh fekt`s kve jeeh repcrtef w`eh t`e wrchn buii wks feiaktef
V`e tcurhgquet khf kbbesscrges s`cuaf je baekhef kiter ekb` use ktgeht kssessmehts pakh ci bkre
ghtervehtgchs gmpaemehtef khf evkauktgch ci bkre reaktef tc use ci k pheumktgb tcurhgquet s`cuaf je
fcbumehtef Efubktgch bcmpetehby kssessmeht khf vkagfktgch s`cuaf je bchfubtef jeicre t`e
pergcperktgve rengsteref hurse mkhknes t`e bkre ci k pktgeht usghn k pheumktgb tcurhgquet cagbges khf
prcbefures icr pheumktgb tcurhgquets s`cuaf je feveacpef revgewef pergcfgbkaay revgsef khf upfktef ks
hebesskry khf s`cuaf je kvkgakjae icr rekfy reierehbe gh t`e prkbtgbe settghn V`e ekat` bkre crnkhgzktgchs
qukagty mkhknemeht prcnrkm s`cuaf ghbaufe ghvestgnktgch ci kfverse evehts khf hekr mgsses ksscbgktefwgt` t`e use ci k pheumktgb tcurhgquet
V`e Ksscbgktgch ci Rurngbka Veb`hcacngsts (KRV) `ks kasc rebcmmehfef t`kt t`e surngbka tekm memjers
s`cuaf bcmpaete trkghghn tc femchstrkte t`e ohcwaefne khf bcmpetehby gh prcper use ci t`e pheumktgb
tcurhgquet Fcbumehtktgch ci t`e use ci tcurhgquet s`cuaf je ghbaufef gh t`e pktgehts cperktgch t`ekter
rebcrfs
V`gn` tcurhgquet s`cuaf hct je ghiaktef wgt` t`e ohee gh t`e iaexef pcsgtgch icaacwef jy aen strkgn`tehghn
ks t`gs igxktes t`e sbgktgb herve tc t`e iemur khf bkuses extreme trkbtgch ch t`e herve
Jruher `kf akgf fcwh lt ruaes icr t`e skie use ci tcurhgquet w`gb` `kve jeeh mcfgigef jy Jrkgt`wkgte khfOaehermkh khf kre ngveh gh Vkjae
Fgngtka tcurhgquets gh t`e icrm ci rcaaef nacve ehrcse frkgh cr bkt`eters kve jeeh s`cwh tc neherkte
wgfe rkhnes ci pressures ehbe skie use nugfeaghes were akgf fcwh jy R`kw et ka jy meksurghn
p`ysgcacngbka pressures Vcurhgquets `kve kasc jeeh usef gh igxktgch ci bacsef irkbtures khf
ghtrkmefuaakry hkgaghn fgkjetgb icct kmputktgchs khf trkumk khf wkr sgtuktgchs gh t e kjsehbe ci
s`cbo regmpakhtktgch khf mgbrcvksbuakr prcbefures
Vcurhgquet pkgh4 Gts bkuse khf mkhknemeht
V`e baghgbka syhfrcme ci tcurhgquet pkgh bchsgsts ci severka bcmpchehts khf gs hct dust fue tc t`e pkgh khf pressure uhfer t`e tcurhgquet V`e smkaaer uhmyeaghktef B-igjers kre mcre resgstkht tc acbka khest`etgb
65
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69
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60
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kne 9 sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
(AK) ghfubef bchfubtgch jacbo ks bcmpkref tc t`e akrner myeaghktef K-igjers Kiter ghtrkt`ebka
kfmghgstrktgch ci kh kfequkte fcse ci AK bchfubtgch gh jct` K- khf B-igjers gs jacboef Jut ks t`e
bchbehtrktgch ci AK gh t`e berejrcspghka iaugf (BRI) febrekses t`e B-igjers stkrt bchfubtghn gmpuases
jeicre t`e K-igjers resuatghn gh k fuaa tcurhgquet pkgh gh t e presehbe ci kh khest`etgb w`gb` w`eh
kssessef jy pgh prgbo kppekrs kfequkte
Eutebtgb mgxture ci acbka khest`etgb (EMAK) brekm kppagbktgch AKs ngveh vgk t`e heurkxgka rcute
wgt` cr wgt`cut cpgcgfs cr GYZK `kve jeeh usef tc kttehukte tcurhgquet-ghfubef pkgh
Mknhesgum suaikte oetkmghe khf oetcrcakb `kve kasc jeeh usef ks kfduvkhts gh GYZK wgt`
vkrgkjae resuats Bachgfghe ks kasc jeeh subbessiuaay usef Ykrgcus knehts ghbaufghn
fexmefetcmgfghe khf oetkmghe `kve kasc jeeh usef ghtrkvehcusay tc kttehukte t gs pkgh
Katerhktgve teb hgques agoe eaebtrcpuhbture khf mefgtktgch `kve kasc jeeh usef icr tcurhgquet pkgh
Vgmghn ci tcurhgquet reaekse
V`ere kre fgiiereht sb`ccas ci t`cun`t renkrfghn t`e tgmghn ci reaekse ci tcurhgquet V`ree stufges ch
tgmghn ci tcurhgquet reaekse were icuhf ghbaufghn lt ohees (0lt pktgehts wgt` uhgakterka prcbefures khf lt
pktgehts wgt` jgakterka tctka ohee krt`rcpaksty) khf 0 pktgehts icr jgakterka bkrpea tuhhea reaekse V`e stufy
nrcup wks fgvgfef ghtc twc equka nrcups (6lt pktgehts gh ekb` nrcup gh che stufy khf lt pktgehts gh t`e
sebchf stufy wgt` lt ohees w`ere tcurhgquet wks reaeksef jeicre khf lt ohees w`ere tcurhgquet wks
reaeksef kiter t`e bacsure) Gh che nrcup t`e tcurhgquet wks feiaktef jeicre wcuhf bacsure khf gh t`e
ct`er kiter wcuhf bacsure V`ere kre hc sgnhgigbkht fgiierehbes gh bcmpagbktgchs agoe pkgh cr ebb`ymcsgs gh
pktgehts gh w`cm t`e tcurhgquet wks reaeksef prgcr tc cr kiter sogh bacsure emcstksgs bchtrca wks jetter gi
gt wks reaeksef kiter wcuhf bacsure khf gt kasc `eapef febrekse t`e cperktgve tgme jy refubghn t`e tgme acst
gh kb`gevghn emcstksgs gi t`e tcurhgquet wks reaeksef prgcr tc sogh bacsure
V`e eiiebts ci feiaktgch ci tcurhgquet
Feiaktgch aekfs tc k febrekse gh mekh krtergka J sgnhgigbkhtay pkrtay cwghn tc t`e reaekse ci metkjcagtes
ircm t`e gsb`emgb agmj ghtc t`e bgrbuaktgch khf t`e febrekse gh pergp`erka vksbuakr resgstkhbe K trkhsgeht
ghbrekse gh EtBC febrekse gh temperkture khf behtrka vehcus cxyneh tehsgch kre seeh
V`e re-estkjags`meht ci jaccf iacw icaacwghn feiaktgch ci tcurhgquet bkh ghfube k pkrkfcxgbka extehsgch ci
gsb`emgb fkmkne mefgktef jy cxyneh iree rkfgbkas khf gs ohcwh ks t`e ‑reperiusgch syhfrcmerdquo V`ere
gs ghterkbtgch jetweeh t`e kbtgvktef heutrcp`gas khf t`e surikbe kf`esgch mcaebuaes ch t`e vksbuakr
ehfct`eagum Aeuocbyte ghigatrktgch jenghs khf t`e expressgch ci gscaktef heutrcp`gas BFj
BF0 ehfct`eagka beaa kf`esgch mcaebuae- (BKM-) cbburs V`gs `ks acbka khf wgfesprekf systemgb
eiiebts Kbute Zespgrktcry Fgstress Ryhfrcme (KZFR) rehka khf bkrfgkb ghdurges mky cbbur khf mkyaekf tc ct`er severe khf citeh iktka bcmpagbktgchs Zeperiusgch ghdury kasc cbburs furghn crnkh
trkhspakhtktgch kcrtgb brcss bakmpghn bkrfgkb jypkss tgssue nrkitghn khf ghtestghka resebtgchs Vrektmeht
wgt `yfrcneh suaigfe khf a-krnghghe khf pre-trektmeht wgt ghfgvgfuka mchcbachka khtgjcfges `ks
jeeh s`cwh tc agmgt t`e gsb`emgk reperiusgch ghdury
Yehcus emjcagzktgch gs khct`er bcmpagbktgch repcrtef kiter feiaktgch ci tcurhgquet espebgkaay ci t`e acwer
agmjs
BCHBAURGCH
Vcurhgquets kre useiua kgfs icr agmj prcbefures ks t`ey febrekse t`e jaccf acss furghn surnery khf prcvgfek reaktgveay jaccfaess igeaf icr t`e surnech gi usef prcperay Rkie use ci tcurhgquets jy gmpaemehtktgch ci
56
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5gt ‒ 9 9296
9599 99
999gt 90 ‒ gtlt
9gt ‒ 90
gtgt gt
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7232019 Tourniquets in orthopedic surgerypdf
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kne gt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
prcper pkffghn uhferhekt` t`e tcurhgquet hct exbeefghn t`e skie agmgt ci tcurhgquet pressure khf furktgch
feiaktghn t`e tcurhgquet icr s`crt ghtervkas ci lt‒5 mgh gi t`e skie tcurhgquet tgme `ks eakpsef khf
prcvgfghn kfequkte khkanesgk jy jacbos rengchka teb`hgques cr AK fruns cr brekms GY cpgcgfs cr
khkanesgbs bkh nc k achn wky gh refubghn t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet use re-
fetermghktgch ci AC khf ghiaktghn tcurhgquets kbbcrfghnay bkh eap refube t`e bcmpagbktgchs ksscbgktef
wgt` t`e use Gt s`cuaf je kvcgfef gh pktgehts wgt` FYV pergp`erka heurcpkt`ges pergp`erka vksbuakr
fgsekse sgboae beaa fgsekse khf Zeyhkufs fgsekse cr gh smkaa surnerges ci igjuak rcper pktgehtmchgtcrghn khf bkre kiter feiaktgch khf bkreiua sekrb` icr heurcacngbka feigbgt pcstcperktgveay gi khy bkh
feighgteay mghgmgze t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet uskne Kaa t`ese meksures tc refube t`e
bcmpagbktgchs ci tcurhgquet heef tc je prcvef jy bchfubtghn akrne-sbkae rkhfcmgzef bchtrcaaef baghgbka
trgkas Mcre humjer ci rkhfcmgzef bchtrcaaef trgkas khf prcspebtgve stufges heef tc je fche tc evkaukte t`e
fgiierehtgka herve ghdurges kiter tcurhgquet use V`e hewer tcurhgquet feiaktgch fevgbes agoe R-MKZV kve
rebehtay bcme gh t`e mkroet khf akrner trgkas khf stufges heef tc je fche tc prcve t`egr eiigbkby
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Hccrfgh R MbEweh DK Orkn` DI Egseh K Mksrg JK Rurngbka tcurhgquets gh crt`cpkefgbs D Jche
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2 Murp`y BN ^ghter FB Jcub`ger-kyes FD Vcurhgquet ghdurges4 pkt`cnehesgs khf mcfkagtges icr
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6 Vcurhgquet ‒ K R-MKZV bchbept Rgmch Kxch Ircm4
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5 Fuiiy D V`e krtergka tcurhgquet Fepkrtmeht ci Khkest`esgk Cttkwk Neherka cspgtka Kbbessef ircm4
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9 ^krreh D krfgmkh DD- ^ccai YD Agmj exskhnughktgch G V`e krm4 eiiebt ci khnae ci eaevktgch
khf krtergka bcmpressgch Khh Z Bcaa Rurn Ehna 77gt642lt‒ _MBGF4 MB67gt9gt]
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0 kmpsch HJ gkhtkfcsg BK Hekr ghirkref mchgtcrghn ci umkh soeaetka musbae cxynehktgch furghn
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7 Goemctc W Ocjkyks`g Usug M Gs`gg R B`khnes gh serum mycnacjgh aeveas bkusef jy tcurhgquet
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ef `gakfeap`gk4 B`urbgaa Agvghnstche ujags`ers ltlt p 5
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7232019 Tourniquets in orthopedic surgerypdf
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ekrse FD Zeperiusgch ci t`e gsb`emgb mycbkrfgum D Mca BeaaBkrfgca 7gtgt749lt5‒9
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6 cracboer VV eja DZ Nkag J Dkhocwsog BD Juroae BM Jerry FD et ka Khest`etgb pktgeht khf
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5 Kvbg N Kokh M Wgafgrgm R Kougravez V Fgngtka heurcvksbuakr bcmpressgch fue tc k icrnctteh tcurhgquet
khf Rurn ltlt20422‒9 _ujMef4 7275lt]
9 kamer R Nrk`km N Vcurhgquet-ghfubef r`kjfcmycaysgs kiter tctka ohee repakbemeht Khh Z Bcaa
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gt Furrkht B Vcwhaey ^K Zkmoumkr R O`cc BV Icrnctteh fgngtka tcurhgquet4 Rkavkne ci kh gsb`emgb
ighner jy kppagbktgch ci mefgbghka aeeb`es Khh Z Bcaa Rurn Ehna ltlt900469‒6
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0 Rchn DE B`uh F R`gh D kro B Aee DW uamchkry t`rcmjcemjcagsm kiter tcurhgquet ghiaktgch
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pkrt ci t`e igjuak K prcspebtgve rkhfcmgzef trgka D Jche Dcght Rurn Km 772gt54gtltlt‒2
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6 Zebcmmehfef rkbtgbes icr use ci t`e pheumktgb tcurhgquet gh t`e pergcperktgve prkbtgbe settghn
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5 Okm B Okvkhkn` Z Wcchn II V`e krtergka tcurhgquet4 pkt`cp`ysgcacngbka bchsequehbes khf
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7232019 Tourniquets in orthopedic surgerypdf
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khf Rurn lt945‒0 _ujMef4 260lt6]
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26 ^`eeaess BZ 2rf Gh ^`eeaess Vextjcco ci Crt`cpefgbs Extremgty Vcurhgquets Kvkgakjae ch ghterhet
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20 Vrefweaa RD ^gamgho M Ghopeh O MbEweh DK efgktrgb tcurhgquets4 Khkaysgs ci buii khf agmj
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27 MbEweh DK Ghopeh OJ Wcuhner K V`gn` tcurhgquet skiety4 AC meksuremeht khf k wgfe
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66 Cfghhsch K Ighseh Y Vcurhgquet use khf gts bcmpagbktgchs gh Hcrwky D Jche Dcght Rurn Jr
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65 heumktgb tcurhgquets usef icr rengchka khest`esgk ekat` Fevgbes 70460‒7
69 kmgf J Tubb`ereaag A Herve ghdurges Gh4 Jcezkert K efgtcr Khkest`esgk khf Crt`cpkefgb surnery
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60 R`kw DK FeMut` ^^ Ngaaespy K^ Nugfeaghes icr t`e use ci fgngtka tcurhgquet jksef ch
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67 Zyi B Meab`er NK Zntildeefg V heumktgb tcurhgquet ks k repcsgtgchghn kgf gh bacsef ghtrkmefuaakry
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5 Orkn` DI Dr ^katers VD Jker FN Icx BD ^kfe BE Rkaghks D et ka Rurvgvka wgt` emernehby
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52 knehcuw ZZ Jrgfehjkun` C Enmchf D Rtuejghn Z Vcurhgquet pkgh4 K vcauhteer stufy Khest`
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56 Ngsseh KD Bcvghc JN Nrenus D Fgiierehtgka sehsgtgvgtges ci mkmmkagkh herve igjres tc acbka
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55 Acwrge K Dches MD Ekstaey ZD Eiiebt ci eutebtgb mgxture ci acbka khkest`etgb knehts (EMAK) ch
tcurhgquet pkgh gh vcauhteers Jr D Khkest` 707924gt5‒2 _ujMef4 979gt5]
59 Cnuiere E Ngffghs NE V`cm DR Upper krm tcurhgquet pkgh gh acbka khest`esgk surnery D khf
Rurn (Eurcpekh Ycaume) 775lt462‒6
5gt B`cg G Oc` Owko GW K bcmpkrgsch ci tcurhgquet pkgh gh spghka khkest`esgk Ocrekh D
Khkest`esgca 779242gt‒5
50 Bchbepbgch MK Akmjert F ^eab` OK Bcvghc JN Vcurhgquet pkgh furghn spghka khest`esgk4 K
bcmpkrgsch ci pakgh scautgch ci tetrkbkghe khf jupgvkbkghe Khest` Khkan 7009gt400‒2
_ujMef4 26677]
57 Aee W Vuhn MB ^`c A Akg OJ ^chn OA ^u O et ka V`e eiiebt ci epgfurka khest`esgk ch
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9lt Jchhet I Fgkaac K Rkkfk M Jeach M Ngajkuf M Jkgbc C revehtgch ci tcurhgquet pkgh jy spghka
gscjkrgb jupgvkbkghe wgt` bachgfghe Jr D Khkest` 70792472‒9 _ujMef4 gt95260]
9 B`erhn B ^chn BR B`khn IA c RD Aee B Epgfurka mcrp`ghe feakys t`e chset ci tcurhgquet
pkgh furghn epgfurka agfcbkghe khest`esgk Khest` Khkan ltlt76496‒9 _ujMef4 lt2lt20]
9 Cokmctc V Mgtsuse V Oks`gwkng V Gwkkhe E Rkoktk W Mksufk O et ka rcp`yakbtgb epgfurka
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92 Dkmes HO O`cc BV Ieaa Z V`e ‑mghg-Jgers jacbordquo4 k hew teb`hgque icr prevehtgch ci tcurhgquet
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96 Estagraveje D Nehtgag ME Akhnacgs N Mcugaaerch Jerhkrf I Ebciiey B Agfcbkghe prgmghn refubes
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ltlt204lt‒2
95 Hkrkhn R Fkag DR Knkrwka M Nkrn Z Evkauktgch ci t`e eiigbkby ci mknhesgum suaikte ks kh kfduvkht
tc agnhcbkghe icr upper agmj surnery Khkest` Ghtehsgve Bkre ltlt029406lt‒6 _ujMef4 75956]
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99 Jcse R Ruhfer ZK Zewkrg Y Rkosehk Z Rtufy ci mknhesgum oetkmghe oetcrcakb ks kfduvkhts tc
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Khkest`esgcacngsts ltlt0 Cbt 7
9gt Ygsbcmg BM Irgehf K kroer B Murp`y V Wkrheaa M Oetkmghe ks kh kfduvkht gh agfcbkghe
ghtrkvehcus rengchka khest`esgk4 k rkhfcmgsef fcujae-jaghf systemgb bchtrca trgka Zen Khkest` kgh
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97 Nehtgag M Jerhkrf DM Jchhet I Kffghn bachgfghe tc agfcbkghe icr ghtrkvehcus rengchka khest`esgk
prevehts tcurhgquet pkgh Khest` Khkan 7770042gt‒2lt _ujMef4 lt25gt227]
gtlt Ncrngks HO Mkgfktsg N Oyrgkogfgs KM Okrkocuaks OK Kavkhcs FH Ngkak MM Bachgfghe versus
oetkmghe tc preveht tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk wgt` agfcbkghe Zen Khkest`
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gt Musgka I Nkjrgea V Kmt`cr H Zkmpp V Mgb`kaseh K Fcjcs N Gs eaebtrc-puhbture k pakbejc gh
expergmehtka tcurhgquet pkgh3 Eurcpekh Dcurhka ci Ghtenrktgve mefgbghe ltlt0(Ruppa )49‒gt
gt B`cg K Musgka I Kmt`cr H Akub`e Z Zkmpp V Rk`k D et ka V`e eiiebt ci eaebtrc kbupuhbture khf
mefgtktgch ch expergmehtka tcurhgquet pkgh Eur D Ghtenr Mef ltlt0(Ruppa )45‒9
gt2 B`rgstcfcuacu KN acumgs KA Verzgfgs G B`khtzgfgs Metscvgtgs RZ Hgogicrcs FN V`e rcae ci
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ltlt6422‒gt _ujMef4 597]
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ergcperktgve jaccf acss gh jgakterka bemehtef tctka ohee krt`rcpaksty4 K prcspebtgve rkhfcmgzef stufy
Veb`hca ekat` Bkre ltlt09405‒7 _ujMef4 060gt056]
gt9 Nrkhner FH Jehcgt DH Ruzuog M Nrgs`km MJ Aeuocbyte kf`erehbe tc vehuakr ehfct`eagum furghn
gsb`emgk reperiusgch Km D `ysgca 7075gt4N902‒0 _ujMef4 5799lt6]
gtgt erhkhfez AK Nrgs`km MJ Vwc`gn J Kricrs OE krakh DM Nrkhner FH Zcae ci heutrcp`gas gh
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0lt Wkmkzkog V Reoc W Vkmktkhg V Mgykskok M Wkzkog W Expressgch ci ghtrkbeaauakr kf`esgch
mcaebuae- gh rkt wgt` gsb`emgkreperiusgch khf agmgtktgch ci ghikrbt sgze jy trektmeht wgt` khtgjcfges
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7232019 Tourniquets in orthopedic surgerypdf
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kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
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02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
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05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
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09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
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7232019 Tourniquets in orthopedic surgerypdf
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gs ghterkbtgch jetweeh t`e kbtgvktef heutrcp`gas khf t`e surikbe kf`esgch mcaebuaes ch t`e vksbuakr
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7232019 Tourniquets in orthopedic surgerypdf
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kne gt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
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feiaktghn t`e tcurhgquet icr s`crt ghtervkas ci lt‒5 mgh gi t`e skie tcurhgquet tgme `ks eakpsef khf
prcvgfghn kfequkte khkanesgk jy jacbos rengchka teb`hgques cr AK fruns cr brekms GY cpgcgfs cr
khkanesgbs bkh nc k achn wky gh refubghn t`e bcmpagbktgchs ksscbgktef wgt` tcurhgquet use re-
fetermghktgch ci AC khf ghiaktghn tcurhgquets kbbcrfghnay bkh eap refube t`e bcmpagbktgchs ksscbgktef
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26 ^`eeaess BZ 2rf Gh ^`eeaess Vextjcco ci Crt`cpefgbs Extremgty Vcurhgquets Kvkgakjae ch ghterhet
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25 Feacun`ry DA Nrgiigt`s Z Krtergka tcurhgquets Bchtghughn Efubktgch gh Khkest`esgk Brgt Bkre kgh
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29 Mc`aer AZ efcwgtz ZK Myers ZZ C`krk ^M Acpez MK Ners`uhhg F Ghtermgtteht reperiusgch
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20 Vrefweaa RD ^gamgho M Ghopeh O MbEweh DK efgktrgb tcurhgquets4 Khkaysgs ci buii khf agmj
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27 MbEweh DK Ghopeh OJ Wcuhner K V`gn` tcurhgquet skiety4 AC meksuremeht khf k wgfe
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6 Aevy C Fkvgf W egm M Eafkr G B`etrgt K Ehnea D Mghgmka tcurhgquet pressure tc mkghtkgh krtergka
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6 Rkrokr R Kb`kryk K k`krg R Eiiebt ci crka bachgfghe pre-mefgbktgch ch emcfyhkmgb respchse tc
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62 Rkpenk KK eppehstkaa J B`khbe J Cptgmgsghn tcurhgquet kppagbktgch khf reaekse tgmes ghextremgty surnery D Jche Dcght Rurn Km 7059gt42lt2‒6 _ujMef4 2790]
66 Cfghhsch K Ighseh Y Vcurhgquet use khf gts bcmpagbktgchs gh Hcrwky D Jche Dcght Rurn Jr
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65 heumktgb tcurhgquets usef icr rengchka khest`esgk ekat` Fevgbes 70460‒7
69 kmgf J Tubb`ereaag A Herve ghdurges Gh4 Jcezkert K efgtcr Khkest`esgk khf Crt`cpkefgb surnery
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6gt Outty R MbEawkgh D kffghn uhfer tcurhgquets gh tcurhgquet bchtrcaaef surnery4 Jruhers teh ruaes
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60 R`kw DK FeMut` ^^ Ngaaespy K^ Nugfeaghes icr t`e use ci fgngtka tcurhgquet jksef ch
7232019 Tourniquets in orthopedic surgerypdf
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne lt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
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67 Zyi B Meab`er NK Zntildeefg V heumktgb tcurhgquet ks k repcsgtgchghn kgf gh bacsef ghtrkmefuaakry
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5lt Tnchgs V Rtkpaetch DD Ngrkrf-cweaa YK knghc ZV Rurngbka mkhknemeht ci fgkjetgb icct ghiebtgchs
khf kmputktgchs KCZH D ltlt00gt4725‒69 _ujMef4 052lt2]
5 Orkn` DI Dr ^katers VD Jker FN Icx BD ^kfe BE Rkaghks D et ka Rurvgvka wgt` emernehby
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5 Fumkhgkh NK B`eh K Mgbrcvksbuakr surnery gh k jaccfaess igeaf Mgbrcsurnery ltltltlt4‒6
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52 knehcuw ZZ Jrgfehjkun` C Enmchf D Rtuejghn Z Vcurhgquet pkgh4 K vcauhteer stufy Khest`
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56 Ngsseh KD Bcvghc JN Nrenus D Fgiierehtgka sehsgtgvgtges ci mkmmkagkh herve igjres tc acbka
khest`etgb knehts Khest`esgcacny 70lt52469gt‒gt6 _ujMef4 gt65gt79]
55 Acwrge K Dches MD Ekstaey ZD Eiiebt ci eutebtgb mgxture ci acbka khkest`etgb knehts (EMAK) ch
tcurhgquet pkgh gh vcauhteers Jr D Khkest` 707924gt5‒2 _ujMef4 979gt5]
59 Cnuiere E Ngffghs NE V`cm DR Upper krm tcurhgquet pkgh gh acbka khest`esgk surnery D khf
Rurn (Eurcpekh Ycaume) 775lt462‒6
5gt B`cg G Oc` Owko GW K bcmpkrgsch ci tcurhgquet pkgh gh spghka khkest`esgk Ocrekh D
Khkest`esgca 779242gt‒5
50 Bchbepbgch MK Akmjert F ^eab` OK Bcvghc JN Vcurhgquet pkgh furghn spghka khest`esgk4 K
bcmpkrgsch ci pakgh scautgch ci tetrkbkghe khf jupgvkbkghe Khest` Khkan 7009gt400‒2
_ujMef4 26677]
57 Aee W Vuhn MB ^`c A Akg OJ ^chn OA ^u O et ka V`e eiiebt ci epgfurka khest`esgk ch
tcurhgquet pkgh4 K bcmpkrgsch ci agfcbkghe khf lt5 jupgvkbkghe _Krtgbae gh B`ghese] Mk Tug Pue Tk
T`g 77lt04657‒96 _ujMef4 lt7gt60gt]
9lt Jchhet I Fgkaac K Rkkfk M Jeach M Ngajkuf M Jkgbc C revehtgch ci tcurhgquet pkgh jy spghka
gscjkrgb jupgvkbkghe wgt` bachgfghe Jr D Khkest` 70792472‒9 _ujMef4 gt95260]
9 B`erhn B ^chn BR B`khn IA c RD Aee B Epgfurka mcrp`ghe feakys t`e chset ci tcurhgquet
pkgh furghn epgfurka agfcbkghe khest`esgk Khest` Khkan ltlt76496‒9 _ujMef4 lt2lt20]
9 Cokmctc V Mgtsuse V Oks`gwkng V Gwkkhe E Rkoktk W Mksufk O et ka rcp`yakbtgb epgfurka
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92 Dkmes HO O`cc BV Ieaa Z V`e ‑mghg-Jgers jacbordquo4 k hew teb`hgque icr prevehtgch ci tcurhgquet
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96 Estagraveje D Nehtgag ME Akhnacgs N Mcugaaerch Jerhkrf I Ebciiey B Agfcbkghe prgmghn refubes
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ltlt204lt‒2
95 Hkrkhn R Fkag DR Knkrwka M Nkrn Z Evkauktgch ci t`e eiigbkby ci mknhesgum suaikte ks kh kfduvkht
tc agnhcbkghe icr upper agmj surnery Khkest` Ghtehsgve Bkre ltlt029406lt‒6 _ujMef4 75956]
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
99 Jcse R Ruhfer ZK Zewkrg Y Rkosehk Z Rtufy ci mknhesgum oetkmghe oetcrcakb ks kfduvkhts tc
agfcbkghe gh ghtrkvehcus rengchka khkest`esgk Khhuka Meetghn Kjstrkbts Kmergbkh Rcbgety ci
Khkest`esgcacngsts ltlt0 Cbt 7
9gt Ygsbcmg BM Irgehf K kroer B Murp`y V Wkrheaa M Oetkmghe ks kh kfduvkht gh agfcbkghe
ghtrkvehcus rengchka khest`esgk4 k rkhfcmgsef fcujae-jaghf systemgb bchtrca trgka Zen Khkest` kgh
Mef ltlt72642lt‒2
90 Aurge RF Zeujeh RR Ngjsch BR FeAubk K Mkbgcaeo K Eiiebt ci bachgfghe ch upper extremgty
tcurhgquet pkgh gh ekat`y vcauhteers Zen Khkest` kgh Mef ltltlt545lt‒5
97 Nehtgag M Jerhkrf DM Jchhet I Kffghn bachgfghe tc agfcbkghe icr ghtrkvehcus rengchka khest`esgk
prevehts tcurhgquet pkgh Khest` Khkan 7770042gt‒2lt _ujMef4 lt25gt227]
gtlt Ncrngks HO Mkgfktsg N Oyrgkogfgs KM Okrkocuaks OK Kavkhcs FH Ngkak MM Bachgfghe versus
oetkmghe tc preveht tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk wgt` agfcbkghe Zen Khkest`
kgh Mef ltlt945‒gt
gt Musgka I Nkjrgea V Kmt`cr H Zkmpp V Mgb`kaseh K Fcjcs N Gs eaebtrc-puhbture k pakbejc gh
expergmehtka tcurhgquet pkgh3 Eurcpekh Dcurhka ci Ghtenrktgve mefgbghe ltlt0(Ruppa )49‒gt
gt B`cg K Musgka I Kmt`cr H Akub`e Z Zkmpp V Rk`k D et ka V`e eiiebt ci eaebtrc kbupuhbture khf
mefgtktgch ch expergmehtka tcurhgquet pkgh Eur D Ghtenr Mef ltlt0(Ruppa )45‒9
gt2 B`rgstcfcuacu KN acumgs KA Verzgfgs G B`khtzgfgs Metscvgtgs RZ Hgogicrcs FN V`e rcae ci
tgmghn ci tcurhgquet reaekse khf bemehtghn ch ergcperktgve jaccf acss gh tctka ohee repakbemeht Ohee
ltlt6422‒gt _ujMef4 597]
gt6 utb`ghsch FV ^khn KK Zeaeksghn t`e tcurhgquet gh bkrpea tuhhea surnery khf ltlt545gt‒7
_MBGF4 MB0lt96] _ujMef4 76gtlt5]
gt5 V`crey I Rtuoehjcrn-Bcasmkh B ^ghf`kneh ^grt` BD V`e eiiebt ci tcurhgquet reaekse tgmghn ch
ergcperktgve jaccf acss gh jgakterka bemehtef tctka ohee krt`rcpaksty4 K prcspebtgve rkhfcmgzef stufy
Veb`hca ekat` Bkre ltlt09405‒7 _ujMef4 060gt056]
gt9 Nrkhner FH Jehcgt DH Ruzuog M Nrgs`km MJ Aeuocbyte kf`erehbe tc vehuakr ehfct`eagum furghn
gsb`emgk reperiusgch Km D `ysgca 7075gt4N902‒0 _ujMef4 5799lt6]
gtgt erhkhfez AK Nrgs`km MJ Vwc`gn J Kricrs OE krakh DM Nrkhner FH Zcae ci heutrcp`gas gh
gsb`emgk reperiusgch-ghfubef mgbrc vksbuakr ghdury Km D `ysgca 70gt524977‒gtlt2
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7799462‒7 _ujMef4 07ltlt29]
gt7 ^kokg K ^khn D ^ghter FB Rtreet DV CRuaagvkh ZN Zefmchf Vcurhgquet ghfubef systemgb
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0lt Wkmkzkog V Reoc W Vkmktkhg V Mgykskok M Wkzkog W Expressgch ci ghtrkbeaauakr kf`esgch
mcaebuae- gh rkt wgt` gsb`emgkreperiusgch khf agmgtktgch ci ghikrbt sgze jy trektmeht wgt` khtgjcfges
knkghst beaa kf`esgch mcaebuaes Km D kt`ca 7726246lt‒0 _MBGF4 MB00gtlt2]
_ujMef4 0ltlt2lt]
0 Akh ^ krmch F ^khn D N`crg O R`crteh N Zefmchf V`e eiiebt ci agfcbkghe ch gh vgtrc
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
khf ohee krt`rcpaksty D Yksb Rurn ltlt2204gtlt‒gt _ujMef4 6909lt6]
02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
extrkbeaauakr bkabgum bchbehtrktgch ch `ypcxgkrecxynehktgch khf gsb`emgkreperiusgch-ghfubef bkrfgkbghdury D `krmkbca Exp V`er 70604gt9‒0 _ujMef4 9gtltgt76]
06 Earcf D^ Bkavert D^ Furkhsog MZ Aeier FD yfrcneh suap`gfe fchcr prctebts knkghst kbute
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05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
katers t`e oghetgbs ci hgtrgb cxgfe khf supercxgfe reaekse khf refubes gsb`emgkreperiusgch ghdury gh soeaetka
musbae Bgrbuaktgch 77gt79499gt‒gt5 _ujMef4 7666]
09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
acwer extremgty tcurhgquets Khest` Khkan 776gt04267‒52 _ujMef4 0207]
Ignures khf Vkjaes
Vkjae
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6gt
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne lt sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
p`ysgcacngbka pressure meksuremehts D Jche Dcght Rurn Km 7059gt4lt09‒7lt _ujMef4 6lt2lt0gt]
67 Zyi B Meab`er NK Zntildeefg V heumktgb tcurhgquet ks k repcsgtgchghn kgf gh bacsef ghtrkmefuaakry
hkgaghn Uhikaab`grurn 7757049gt‒7 _ujMef4 050676]
5lt Tnchgs V Rtkpaetch DD Ngrkrf-cweaa YK knghc ZV Rurngbka mkhknemeht ci fgkjetgb icct ghiebtgchs
khf kmputktgchs KCZH D ltlt00gt4725‒69 _ujMef4 052lt2]
5 Orkn` DI Dr ^katers VD Jker FN Icx BD ^kfe BE Rkaghks D et ka Rurvgvka wgt` emernehby
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5 Fumkhgkh NK B`eh K Mgbrcvksbuakr surnery gh k jaccfaess igeaf Mgbrcsurnery ltltltlt4‒6
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52 knehcuw ZZ Jrgfehjkun` C Enmchf D Rtuejghn Z Vcurhgquet pkgh4 K vcauhteer stufy Khest`
Khkan 709954gt5‒0lt _ujMef4 2gt9gtlt5]
56 Ngsseh KD Bcvghc JN Nrenus D Fgiierehtgka sehsgtgvgtges ci mkmmkagkh herve igjres tc acbka
khest`etgb knehts Khest`esgcacny 70lt52469gt‒gt6 _ujMef4 gt65gt79]
55 Acwrge K Dches MD Ekstaey ZD Eiiebt ci eutebtgb mgxture ci acbka khkest`etgb knehts (EMAK) ch
tcurhgquet pkgh gh vcauhteers Jr D Khkest` 707924gt5‒2 _ujMef4 979gt5]
59 Cnuiere E Ngffghs NE V`cm DR Upper krm tcurhgquet pkgh gh acbka khest`esgk surnery D khf
Rurn (Eurcpekh Ycaume) 775lt462‒6
5gt B`cg G Oc` Owko GW K bcmpkrgsch ci tcurhgquet pkgh gh spghka khkest`esgk Ocrekh D
Khkest`esgca 779242gt‒5
50 Bchbepbgch MK Akmjert F ^eab` OK Bcvghc JN Vcurhgquet pkgh furghn spghka khest`esgk4 K
bcmpkrgsch ci pakgh scautgch ci tetrkbkghe khf jupgvkbkghe Khest` Khkan 7009gt400‒2
_ujMef4 26677]
57 Aee W Vuhn MB ^`c A Akg OJ ^chn OA ^u O et ka V`e eiiebt ci epgfurka khest`esgk ch
tcurhgquet pkgh4 K bcmpkrgsch ci agfcbkghe khf lt5 jupgvkbkghe _Krtgbae gh B`ghese] Mk Tug Pue Tk
T`g 77lt04657‒96 _ujMef4 lt7gt60gt]
9lt Jchhet I Fgkaac K Rkkfk M Jeach M Ngajkuf M Jkgbc C revehtgch ci tcurhgquet pkgh jy spghka
gscjkrgb jupgvkbkghe wgt` bachgfghe Jr D Khkest` 70792472‒9 _ujMef4 gt95260]
9 B`erhn B ^chn BR B`khn IA c RD Aee B Epgfurka mcrp`ghe feakys t`e chset ci tcurhgquet
pkgh furghn epgfurka agfcbkghe khest`esgk Khest` Khkan ltlt76496‒9 _ujMef4 lt2lt20]
9 Cokmctc V Mgtsuse V Oks`gwkng V Gwkkhe E Rkoktk W Mksufk O et ka rcp`yakbtgb epgfurka
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92 Dkmes HO O`cc BV Ieaa Z V`e ‑mghg-Jgers jacbordquo4 k hew teb`hgque icr prevehtgch ci tcurhgquet
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96 Estagraveje D Nehtgag ME Akhnacgs N Mcugaaerch Jerhkrf I Ebciiey B Agfcbkghe prgmghn refubes
tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk4 K preagmghkry stufy ZenKhkest` kgh Mef
ltlt204lt‒2
95 Hkrkhn R Fkag DR Knkrwka M Nkrn Z Evkauktgch ci t`e eiigbkby ci mknhesgum suaikte ks kh kfduvkht
tc agnhcbkghe icr upper agmj surnery Khkest` Ghtehsgve Bkre ltlt029406lt‒6 _ujMef4 75956]
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
99 Jcse R Ruhfer ZK Zewkrg Y Rkosehk Z Rtufy ci mknhesgum oetkmghe oetcrcakb ks kfduvkhts tc
agfcbkghe gh ghtrkvehcus rengchka khkest`esgk Khhuka Meetghn Kjstrkbts Kmergbkh Rcbgety ci
Khkest`esgcacngsts ltlt0 Cbt 7
9gt Ygsbcmg BM Irgehf K kroer B Murp`y V Wkrheaa M Oetkmghe ks kh kfduvkht gh agfcbkghe
ghtrkvehcus rengchka khest`esgk4 k rkhfcmgsef fcujae-jaghf systemgb bchtrca trgka Zen Khkest` kgh
Mef ltlt72642lt‒2
90 Aurge RF Zeujeh RR Ngjsch BR FeAubk K Mkbgcaeo K Eiiebt ci bachgfghe ch upper extremgty
tcurhgquet pkgh gh ekat`y vcauhteers Zen Khkest` kgh Mef ltltlt545lt‒5
97 Nehtgag M Jerhkrf DM Jchhet I Kffghn bachgfghe tc agfcbkghe icr ghtrkvehcus rengchka khest`esgk
prevehts tcurhgquet pkgh Khest` Khkan 7770042gt‒2lt _ujMef4 lt25gt227]
gtlt Ncrngks HO Mkgfktsg N Oyrgkogfgs KM Okrkocuaks OK Kavkhcs FH Ngkak MM Bachgfghe versus
oetkmghe tc preveht tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk wgt` agfcbkghe Zen Khkest`
kgh Mef ltlt945‒gt
gt Musgka I Nkjrgea V Kmt`cr H Zkmpp V Mgb`kaseh K Fcjcs N Gs eaebtrc-puhbture k pakbejc gh
expergmehtka tcurhgquet pkgh3 Eurcpekh Dcurhka ci Ghtenrktgve mefgbghe ltlt0(Ruppa )49‒gt
gt B`cg K Musgka I Kmt`cr H Akub`e Z Zkmpp V Rk`k D et ka V`e eiiebt ci eaebtrc kbupuhbture khf
mefgtktgch ch expergmehtka tcurhgquet pkgh Eur D Ghtenr Mef ltlt0(Ruppa )45‒9
gt2 B`rgstcfcuacu KN acumgs KA Verzgfgs G B`khtzgfgs Metscvgtgs RZ Hgogicrcs FN V`e rcae ci
tgmghn ci tcurhgquet reaekse khf bemehtghn ch ergcperktgve jaccf acss gh tctka ohee repakbemeht Ohee
ltlt6422‒gt _ujMef4 597]
gt6 utb`ghsch FV ^khn KK Zeaeksghn t`e tcurhgquet gh bkrpea tuhhea surnery khf ltlt545gt‒7
_MBGF4 MB0lt96] _ujMef4 76gtlt5]
gt5 V`crey I Rtuoehjcrn-Bcasmkh B ^ghf`kneh ^grt` BD V`e eiiebt ci tcurhgquet reaekse tgmghn ch
ergcperktgve jaccf acss gh jgakterka bemehtef tctka ohee krt`rcpaksty4 K prcspebtgve rkhfcmgzef stufy
Veb`hca ekat` Bkre ltlt09405‒7 _ujMef4 060gt056]
gt9 Nrkhner FH Jehcgt DH Ruzuog M Nrgs`km MJ Aeuocbyte kf`erehbe tc vehuakr ehfct`eagum furghn
gsb`emgk reperiusgch Km D `ysgca 7075gt4N902‒0 _ujMef4 5799lt6]
gtgt erhkhfez AK Nrgs`km MJ Vwc`gn J Kricrs OE krakh DM Nrkhner FH Zcae ci heutrcp`gas gh
gsb`emgk reperiusgch-ghfubef mgbrc vksbuakr ghdury Km D `ysgca 70gt524977‒gtlt2
_ujMef4 2922lt2]
gt0 Rtcoes OW Kjfg` O Oeaay BD Zefmchf Jcub`ger-kyes FD V`ermc tcaerkhbe kttehuktes
gsb`emgk reperiusgch ghfubef rehka ghdury khf ghbreksef expressgch ci GBKM- Vrkhspakhtktgch
7799462‒7 _ujMef4 07ltlt29]
gt7 ^kokg K ^khn D ^ghter FB Rtreet DV CRuaagvkh ZN Zefmchf Vcurhgquet ghfubef systemgb
ghiakmmktcry respchse gh extremgty surnery D Vrkumk ltlt547‒9 _ujMef4 gtlt926]
0lt Wkmkzkog V Reoc W Vkmktkhg V Mgykskok M Wkzkog W Expressgch ci ghtrkbeaauakr kf`esgch
mcaebuae- gh rkt wgt` gsb`emgkreperiusgch khf agmgtktgch ci ghikrbt sgze jy trektmeht wgt` khtgjcfges
knkghst beaa kf`esgch mcaebuaes Km D kt`ca 7726246lt‒0 _MBGF4 MB00gtlt2]
_ujMef4 0ltlt2lt]
0 Akh ^ krmch F ^khn D N`crg O R`crteh N Zefmchf V`e eiiebt ci agfcbkghe ch gh vgtrc
7232019 Tourniquets in orthopedic surgerypdf
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6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
khf ohee krt`rcpaksty D Yksb Rurn ltlt2204gtlt‒gt _ujMef4 6909lt6]
02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
extrkbeaauakr bkabgum bchbehtrktgch ch `ypcxgkrecxynehktgch khf gsb`emgkreperiusgch-ghfubef bkrfgkbghdury D `krmkbca Exp V`er 70604gt9‒0 _ujMef4 9gtltgt76]
06 Earcf D^ Bkavert D^ Furkhsog MZ Aeier FD yfrcneh suap`gfe fchcr prctebts knkghst kbute
mycbkrfgka gsb`emgk-reperiusgch ghdury Bgrbuaktgch ltlt964gt
05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
katers t`e oghetgbs ci hgtrgb cxgfe khf supercxgfe reaekse khf refubes gsb`emgkreperiusgch ghdury gh soeaetka
musbae Bgrbuaktgch 77gt79499gt‒gt5 _ujMef4 7666]
09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
acwer extremgty tcurhgquets Khest` Khkan 776gt04267‒52 _ujMef4 0207]
Ignures khf Vkjaes
Vkjae
Jruhers teh ruaes icr t`e skie use ci tcurhgquet (Mcfgigef jy Jkrgt`wkgte khf Oaehermkh)
Krtgbaes ircm Ghfgkh Dcurhka ci Crt`cpkefgbs kre prcvgfef `ere bcurtesy ci Mefohcw ujagbktgchs
6gt
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1112
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
99 Jcse R Ruhfer ZK Zewkrg Y Rkosehk Z Rtufy ci mknhesgum oetkmghe oetcrcakb ks kfduvkhts tc
agfcbkghe gh ghtrkvehcus rengchka khkest`esgk Khhuka Meetghn Kjstrkbts Kmergbkh Rcbgety ci
Khkest`esgcacngsts ltlt0 Cbt 7
9gt Ygsbcmg BM Irgehf K kroer B Murp`y V Wkrheaa M Oetkmghe ks kh kfduvkht gh agfcbkghe
ghtrkvehcus rengchka khest`esgk4 k rkhfcmgsef fcujae-jaghf systemgb bchtrca trgka Zen Khkest` kgh
Mef ltlt72642lt‒2
90 Aurge RF Zeujeh RR Ngjsch BR FeAubk K Mkbgcaeo K Eiiebt ci bachgfghe ch upper extremgty
tcurhgquet pkgh gh ekat`y vcauhteers Zen Khkest` kgh Mef ltltlt545lt‒5
97 Nehtgag M Jerhkrf DM Jchhet I Kffghn bachgfghe tc agfcbkghe icr ghtrkvehcus rengchka khest`esgk
prevehts tcurhgquet pkgh Khest` Khkan 7770042gt‒2lt _ujMef4 lt25gt227]
gtlt Ncrngks HO Mkgfktsg N Oyrgkogfgs KM Okrkocuaks OK Kavkhcs FH Ngkak MM Bachgfghe versus
oetkmghe tc preveht tcurhgquet pkgh furghn ghtrkvehcus rengchka khkest`esgk wgt` agfcbkghe Zen Khkest`
kgh Mef ltlt945‒gt
gt Musgka I Nkjrgea V Kmt`cr H Zkmpp V Mgb`kaseh K Fcjcs N Gs eaebtrc-puhbture k pakbejc gh
expergmehtka tcurhgquet pkgh3 Eurcpekh Dcurhka ci Ghtenrktgve mefgbghe ltlt0(Ruppa )49‒gt
gt B`cg K Musgka I Kmt`cr H Akub`e Z Zkmpp V Rk`k D et ka V`e eiiebt ci eaebtrc kbupuhbture khf
mefgtktgch ch expergmehtka tcurhgquet pkgh Eur D Ghtenr Mef ltlt0(Ruppa )45‒9
gt2 B`rgstcfcuacu KN acumgs KA Verzgfgs G B`khtzgfgs Metscvgtgs RZ Hgogicrcs FN V`e rcae ci
tgmghn ci tcurhgquet reaekse khf bemehtghn ch ergcperktgve jaccf acss gh tctka ohee repakbemeht Ohee
ltlt6422‒gt _ujMef4 597]
gt6 utb`ghsch FV ^khn KK Zeaeksghn t`e tcurhgquet gh bkrpea tuhhea surnery khf ltlt545gt‒7
_MBGF4 MB0lt96] _ujMef4 76gtlt5]
gt5 V`crey I Rtuoehjcrn-Bcasmkh B ^ghf`kneh ^grt` BD V`e eiiebt ci tcurhgquet reaekse tgmghn ch
ergcperktgve jaccf acss gh jgakterka bemehtef tctka ohee krt`rcpaksty4 K prcspebtgve rkhfcmgzef stufy
Veb`hca ekat` Bkre ltlt09405‒7 _ujMef4 060gt056]
gt9 Nrkhner FH Jehcgt DH Ruzuog M Nrgs`km MJ Aeuocbyte kf`erehbe tc vehuakr ehfct`eagum furghn
gsb`emgk reperiusgch Km D `ysgca 7075gt4N902‒0 _ujMef4 5799lt6]
gtgt erhkhfez AK Nrgs`km MJ Vwc`gn J Kricrs OE krakh DM Nrkhner FH Zcae ci heutrcp`gas gh
gsb`emgk reperiusgch-ghfubef mgbrc vksbuakr ghdury Km D `ysgca 70gt524977‒gtlt2
_ujMef4 2922lt2]
gt0 Rtcoes OW Kjfg` O Oeaay BD Zefmchf Jcub`ger-kyes FD V`ermc tcaerkhbe kttehuktes
gsb`emgk reperiusgch ghfubef rehka ghdury khf ghbreksef expressgch ci GBKM- Vrkhspakhtktgch
7799462‒7 _ujMef4 07ltlt29]
gt7 ^kokg K ^khn D ^ghter FB Rtreet DV CRuaagvkh ZN Zefmchf Vcurhgquet ghfubef systemgb
ghiakmmktcry respchse gh extremgty surnery D Vrkumk ltlt547‒9 _ujMef4 gtlt926]
0lt Wkmkzkog V Reoc W Vkmktkhg V Mgykskok M Wkzkog W Expressgch ci ghtrkbeaauakr kf`esgch
mcaebuae- gh rkt wgt` gsb`emgkreperiusgch khf agmgtktgch ci ghikrbt sgze jy trektmeht wgt` khtgjcfges
knkghst beaa kf`esgch mcaebuaes Km D kt`ca 7726246lt‒0 _MBGF4 MB00gtlt2]
_ujMef4 0ltlt2lt]
0 Akh ^ krmch F ^khn D N`crg O R`crteh N Zefmchf V`e eiiebt ci agfcbkghe ch gh vgtrc
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1212
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
khf ohee krt`rcpaksty D Yksb Rurn ltlt2204gtlt‒gt _ujMef4 6909lt6]
02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
extrkbeaauakr bkabgum bchbehtrktgch ch `ypcxgkrecxynehktgch khf gsb`emgkreperiusgch-ghfubef bkrfgkbghdury D `krmkbca Exp V`er 70604gt9‒0 _ujMef4 9gtltgt76]
06 Earcf D^ Bkavert D^ Furkhsog MZ Aeier FD yfrcneh suap`gfe fchcr prctebts knkghst kbute
mycbkrfgka gsb`emgk-reperiusgch ghdury Bgrbuaktgch ltlt964gt
05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
katers t`e oghetgbs ci hgtrgb cxgfe khf supercxgfe reaekse khf refubes gsb`emgkreperiusgch ghdury gh soeaetka
musbae Bgrbuaktgch 77gt79499gt‒gt5 _ujMef4 7666]
09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
acwer extremgty tcurhgquets Khest` Khkan 776gt04267‒52 _ujMef4 0207]
Ignures khf Vkjaes
Vkjae
Jruhers teh ruaes icr t`e skie use ci tcurhgquet (Mcfgigef jy Jkrgt`wkgte khf Oaehermkh)
Krtgbaes ircm Ghfgkh Dcurhka ci Crt`cpkefgbs kre prcvgfef `ere bcurtesy ci Mefohcw ujagbktgchs
6gt
7232019 Tourniquets in orthopedic surgerypdf
httpslidepdfcomreaderfulltourniquets-in-orthopedic-surgerypdf 1212
6ltlt5 gt9830926Vcurhgquets gh crt`cpefgb surnery
kne sur `ttp4wwwhbjghamhg`ncvpmbkrtgbaesMB26763repcrt=prghtkjae
heutrcp`gas khf ehfct`eagka kf`esgch mcaebuae expressgch ghfubef jy paksmk cjtkghef furghn tcurhgquet-
ghfubef gsb`emgk khf reperiusgch Eur D Khkest`esgca ltlt6407‒gt _ujMef4 5gtgtgtlt9]
0 Bkaagnkrc OF Fcun`erty MD Zykh R Jcct` ZE Kbute krtergka bcmpagbktgchs ksscbgktef wgt` tctka gp
khf ohee krt`rcpaksty D Yksb Rurn ltlt2204gtlt‒gt _ujMef4 6909lt6]
02 Igtzpktrgbo FJ Okrmkzyh M Bcmpkrktgve eiiebts ci bkabgum b`khhea jacboghn knehts khf vkryghn
extrkbeaauakr bkabgum bchbehtrktgch ch `ypcxgkrecxynehktgch khf gsb`emgkreperiusgch-ghfubef bkrfgkbghdury D `krmkbca Exp V`er 70604gt9‒0 _ujMef4 9gtltgt76]
06 Earcf D^ Bkavert D^ Furkhsog MZ Aeier FD yfrcneh suap`gfe fchcr prctebts knkghst kbute
mycbkrfgka gsb`emgk-reperiusgch ghdury Bgrbuaktgch ltlt964gt
05 uo G Hkhcjks`vgag D Heumkyer B uhz K Mueaaer M Kio`kmpcur O et ka A-krnghghe trektmeht
katers t`e oghetgbs ci hgtrgb cxgfe khf supercxgfe reaekse khf refubes gsb`emgkreperiusgch ghdury gh soeaetka
musbae Bgrbuaktgch 77gt79499gt‒gt5 _ujMef4 7666]
09 MbNrkt` JD sgk D Jcyf K R`ky Nrketer D Bchry O et ka Yehcus emjcagzktgch kiter feiaktgch ci
acwer extremgty tcurhgquets Khest` Khkan 776gt04267‒52 _ujMef4 0207]
Ignures khf Vkjaes
Vkjae
Jruhers teh ruaes icr t`e skie use ci tcurhgquet (Mcfgigef jy Jkrgt`wkgte khf Oaehermkh)
Krtgbaes ircm Ghfgkh Dcurhka ci Crt`cpkefgbs kre prcvgfef `ere bcurtesy ci Mefohcw ujagbktgchs
6gt
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