Tourniquet use and sickle cell hemoglobinopathy: how should we proceed?

Abstract:

:The use of tourniquets for upper and lower extremity operative procedures is controversial in patients with sickle cell hemoglobinopathies. The authors used Ovid and MEDLINE®, PubMed, and CINAHL® to detect English-language reports of any surgical procedure where a tourniquet was used on a patient with sickle cell disease or trait. Four papers met the search criteria and were reviewed. These studies included 96 patients with hemoglobin SS, SC, and sickle cell trait (AS). The investigations differed in tourniquet type, perioperative care, operative procedure, and patient genotype distribution. Twelve of 96 sickle cell patients (12.5%) experienced postoperative complications (8 SS/SC and 4 AS) detailed in two of the four studies. Nonetheless, the available limited evidence suggests that with proper perioperative management and necessary precautions, tourniquets can be used with relative safety in most patients with sickle cell disease.

journal_name

South Med J

journal_title

Southern medical journal

authors

Fisher B,Roberts CS

doi

10.1097/SMJ.0b013e3181efaf3b

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

1156-60

issue

11

eissn

0038-4348

issn

1541-8243

journal_volume

103

pub_type

杂志文章,评审
  • Pyarthrosis simulating ruptured rotator cuff syndrome.

    abstract::A 50-year-old black man was admitted with a diagnosis of a ruptured rotator cuff syndrome two weeks after an injury to the right shoulder and treatment by intra-articular steroid injection. At operation pus and necrotic debris were found in the shoulder joint, but the rotator cuff was anatomically intact. Surgical deb...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198206000-00037

    authors: Gordon EJ,Hutchful GA

    更新日期:1982-06-01 00:00:00

  • Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium.

    abstract:OBJECTIVES:To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. M...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001132

    authors: Detweiler MB,Lutgens BW,Choudhury D,Kenneth A,Kalafat N,Sherigar RM,Bader G

    更新日期:2020-08-01 00:00:00

  • Mallory-Weiss syndrome: retrospective review of eight years' experience.

    abstract::Retrospective review of eight years' experience with the Mallory-Weiss syndrome emphatically supports the need for accurate, early localization of the site of upper gastrointestinal hemorrhage. Pertinent aspects of the history and physical and laboratory evaluation of this group of patients were analyzed to determine ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Hixson SD,Burns RP,Britt LG

    更新日期:1979-10-01 00:00:00

  • Roentgenographic evaluation of the augmented breast.

    abstract::We performed a retrospective study to determine the sensitivity of mammography in detecting breast cancer arising in women with augmented breasts. Of eight women with breast implants in whom breast cancer developed, six had mammograms before biopsy. Only two of the six cancers were identified mammographically (sensiti...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199101000-00013

    authors: Douglas KP,Bluth EI,Sauter ER,McKinnon WM,Bergeron RB,Merritt CR,Sullivan MA,Finley JM

    更新日期:1991-01-01 00:00:00

  • Progressive systemic sclerosis causing rapidly progressive myocardial disease and death.

    abstract::We have presented an unusually swift progression of progressive systemic sclerosis (PSS), with death from cardiogenic shock in a 22-year-old woman who had severe hypertension and acute renal insufficiency. She arrived at our hospital with pericardial tamponade and shock. Despite initial improvement after pericardiocen...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199207000-00026

    authors: Lawrence ME,Robinson JC,Terry EE

    更新日期:1992-07-01 00:00:00

  • Diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone.

    abstract:BACKGROUND:Hyponatremia is a frequent condition in elderly patients. In diagnostic workup, a 24-hour urine sample is used to measure urinary osmolality and urinary sodium concentration necessary to confirm the diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). This study was undertake...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31819b0e06

    authors: Holm EA,Bie P,Ottesen M,Ødum L,Jespersen B

    更新日期:2009-04-01 00:00:00

  • Pigmented villonodular synovitis of the knee in a 9-year-old child.

    abstract::This report describes a 9-year-old girl with pigmented villonodular synovitis of the right knee. She presented with a chronic bloody effusion of the knee. The diagnosis of pigmented villonodular synovitis was suggested by the findings on magnetic resonance imaging and confirmed at the time of arthroscopic synovectomy....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000104842.97001.88

    authors: Saulsbury FT

    更新日期:2004-01-01 00:00:00

  • Cyclic neutropenia and pregnancy.

    abstract::We have described a case of cyclic neutropenia and pregnancy. Although many such cases exist, we believe this is the first time the association has been documented. In this patient, pregnancy had a mitigating effect on the symptoms caused by cyclic neutropenia. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198804000-00031

    authors: Katz VL,Egley CC,Bowes WA Jr

    更新日期:1988-04-01 00:00:00

  • Bacterial populations in the groundwater on the US-Mexico border in El Paso County, Texas.

    abstract::In El Paso County, Texas, 73 domestic wells were sampled using a variety of selective media to determine the extent of bacterial contamination of the groundwater on the US side of the United States-Mexico border. Thirteen wells were contaminated by fecal coliforms, whereas other wells contained a variety of bacterial ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199412000-00004

    authors: Mroz RC Jr,Pillai SD

    更新日期:1994-12-01 00:00:00

  • Sports Concussion Management: part II.

    abstract::Millions of concussions occur every year in the United States. The public interest in concussion has increased after a number of high-profile deaths in high school athletes from sports-related head trauma and in some professional athletes from chronic traumatic encephalopathy. One of the most active areas of research ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0000000000000064

    authors: Terrell TR,Cox CB,Bielak K,Casmus R,Laskowitz D,Nichols G

    更新日期:2014-02-01 00:00:00

  • Community violence and pregnancy health behaviors and outcomes.

    abstract:OBJECTIVES:Community violence is associated with health-compromising behaviors (HCBs) and adverse general health and pregnancy outcomes. It is unknown whether these effects persist after adjusting for health behaviors. METHODS:Retrospective cohort study of 36,637 pregnancies, 2005-2009, using birth certificate/hospita...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000143

    authors: Okah FA,Oshodi A,Liu Y,Cai J

    更新日期:2014-08-01 00:00:00

  • Pediatricians' attitudes toward maternal employment and substitute child care.

    abstract::In 1979 more than 54% of women with children less than 18 years old were in the labor force. The purpose of this study was to study the attitudes of pediatricians toward maternal employment and substitute child care arrangements. To survey their attitudes toward maternal employment and substitute child care, we sent a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198406000-00016

    authors: Sinal SH,Herndon A

    更新日期:1984-06-01 00:00:00

  • Management of hyperlipidemia in the elderly population: an evidence-based approach.

    abstract::Coronary heart disease (CHD) is the leading cause of morbidity and mortality in patients more than 65 years old. Within this population, elevated cholesterol levels are prevalent and associated with increased risk of CHD. Despite increasing emphasis on lipid-lowering treatment in the elderly population, questions rema...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Dalal D,Robbins JA

    更新日期:2002-11-01 00:00:00

  • Patients' views about discussing spiritual issues with primary care physicians.

    abstract:OBJECTIVES:The authors sought to explore patients' views about discussing spiritual issues with primary care physicians, including perceived barriers to and facilitators of discussions. METHODS:The study was a qualitative, semistructured interview of 10 chronically or terminally ill patients who were deliberately sele...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000146486.69217.EE

    authors: Ellis MR,Campbell JD

    更新日期:2004-12-01 00:00:00

  • Mesenteric venous thrombosis and oral contraceptives.

    abstract::Reported is a case of mesenteric venous thrombosis occurring in a 46-year-old woman who had taken an oral contraceptive for six years. Seventeen cases of mesenteric venous thrombosis have been reported in young women taking oral contraceptives. An association between oral contraceptive agents and mesenteric venous thr...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197703000-00033

    authors: Nesbit RR Jr,Deweese JA

    更新日期:1977-03-01 00:00:00

  • A Multidisciplinary Approach to Castleman Disease of the Neck.

    abstract::Castleman disease (CD) is a rare lymphoproliferative disorder that occurs in adults and rarely in the pediatric population. The disease is characterized by slowly enlarging masses that can form anywhere within the lymphatic system. It is an uncommon cause of a neck mass in both children and adults that presents insidi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000406

    authors: Shams AA,Ahmed MM,Scalzitti NJ,Howell DL,Hall JM,Ritter JL,Maturo SC

    更新日期:2016-02-01 00:00:00

  • Panic attacks associated with citalopram.

    abstract::Citalopram is the newest selective serotonin reuptake inhibitor (SSRI) available in the United States. It is currently approved by the Food and Drug Administration for the treatment of major depression. However, a number of studies have found it to be effective in the treatment of panic disorder as well. While there h...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Brauer HR,Nowicki PW,Catalano G,Catalano MC

    更新日期:2002-09-01 00:00:00

  • Narcolepsy.

    abstract::Narcolepsy is a severely debilitating neurologic disease that is not as rare as many believe, affecting an estimated 140,000 Americans. Despite the sometimes debilitating nature of narcolepsy symptoms, the disease may go undiagnosed without an organized method for evaluating patients with sleep complaints. Many of the...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000056655.15660.42

    authors: Feldman NT

    更新日期:2003-03-01 00:00:00

  • Surgery in head and neck lymphomas.

    abstract::Radiation therapy and/or chemotherapy are the treatment modalities of choice in lymphomas. Except for Burkitt's tumor, surgery is usually indicated only when percutaneous biopsy fails to establish the histologic diagnosis. We have described a patient with glomerulonephritis and anasarca secondary to an IgM-producing p...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198211000-00030

    authors: Osguthorpe JD,Rice D,Adkins WY

    更新日期:1982-11-01 00:00:00

  • Improving Preventive Care for Women through a Provider Reminder Tool.

    abstract:OBJECTIVE:To determine the association of utilization of health maintenance tables (HMTs) as a provider reminder tool within the electronic medical record with the completion of women's preventive health services. METHODS:Guidelines from the US Preventive Services Task Force and the Advisory Committee on Immunization ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001160

    authors: Romero de Mello Sa SA,Mramba LK,Sattari M

    更新日期:2020-10-01 00:00:00

  • Preoperative versus postoperative adjuvant radiotherapy for surgically curable carcinoma of the rectum and distal sigmoid colon.

    abstract::From January 1979 to October 1986, 86 patients with surgically resectable adenocarcinoma of the rectum or rectosigmoid were treated with adjuvant radiotherapy consisting of preoperative 2,400 cGy (22 patients), preoperative 4,000 cGy (14 patients), "sandwich" technique (27 patients), and postoperative irradiation (23 ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199007000-00014

    authors: Rahman SM,McKibben BT,Hardy TG Jr,Schloss CD,Cho CC,Hartmann RF,Aguilar PS,Khanduja KS,Stewart WR

    更新日期:1990-07-01 00:00:00

  • Non-Hodgkin's lymphoma in pregnancy.

    abstract::Pregnancy in patients who have non-Hodgkin's lymphoma is unusual. We have reported a case of diffuse, poorly differentiated lymphocytic lymphoma, stage IIIa, in a patient whose disease went into remission after she received six courses of CHOP therapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone). She...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198510000-00032

    authors: Garg A,Kochupillai V

    更新日期:1985-10-01 00:00:00

  • Hypopituitarism in diabetes mellitus.

    abstract::A woman with stable diabetes presented with hypoglycemia and decreased insulin requirement. Further history suggested decreasing pituitary function. Laboratory tests confirmed pituitary deficiencies, associated with her increased insulin sensitivity. It may be helpful to be aware of this syndrome when dealing with dia...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198001000-00033

    authors: Eller J,Winternitz WW

    更新日期:1980-01-01 00:00:00

  • The variant form of angina pectoris.

    abstract::Variant angina pectoris, usually not precipitated by exertion or emotional stress, often is more severe and lasts longer than classic angina. The pain tends to recur at about the same time each day. Arrhythmias, usually ventricular, occur in about 50% of cases during the peak of pain. Electrocardiograms show a charact...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-197603000-00034

    authors: Siegel JS

    更新日期:1976-03-01 00:00:00

  • Medications obtained in Mexico by patients in southern New Mexico.

    abstract::Many health care providers practicing near the border between the United States and Mexico have serious concerns about their patients' using medications obtained in Mexico. Despite these concerns, the extent of this problem is not known. A survey administered in a publicly funded rural clinic and an urban private prac...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199003000-00003

    authors: Tabet SR,Wiese WH

    更新日期:1990-03-01 00:00:00

  • Hyponatremia in the syndrome of inappropriate secretion of antidiuretic hormone: rapid correction with osmotic agents.

    abstract::In three patients with SIADH, mannitol or glycerol promoted a rapid free water diuresis. Use of osmotic agents requires less laboratory and clinical monitoring than use of furosemide, is appropriate treatment, and in fact may be the treatment of choice in some patients with symptomatic hyponatremia from SIADH. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198503000-00028

    authors: Weinberg MS,Donohoe JF

    更新日期:1985-03-01 00:00:00

  • Survey of major neurologic disorders in a biracial United States population: the Copiah County Study.

    abstract::To determine the prevalence of frequently occurring neurologic disorders in a biracial population, a survey of households and chronic care institutions was carried out for all residents of Copiah County, Mississippi. Along with a complete census, interviews were held using extensive questions about diagnoses, signs, a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198703000-00016

    authors: Haerer AF,Anderson DW,Schoenberg BS

    更新日期:1987-03-01 00:00:00

  • Edematous pancreatitis associated with intravenous pentamidine.

    abstract::A 37-year-old black man with presumed Pneumocystis carinii pneumonia who was treated with systemic IV pentamidine had fatal pancreatitis and massive hepatomegaly. Fatal pancreatitis can occur with no hemorrhagic changes seen at autopsy. Awareness of the relationship between pentamidine and pancreatitis should be empha...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Villamil A,Hammer RA,Rodriguez FH

    更新日期:1991-06-01 00:00:00

  • Infrainguinal revascularization for limb salvage in patients with end-stage renal disease.

    abstract::We studied the efficacy of infrainguinal bypass for limb salvage in patients with end-stage renal disease. The patency of 42 femoropopliteal and femorodistal bypasses, performed for limb salvage in 37 patients with end-stage renal disease, was assessed with Doppler ultrasonography and dye tests. Patency rates and limb...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199102000-00009

    authors: Wassermann RJ,Saroyan RM,Rice JC,Kerstein MD

    更新日期:1991-02-01 00:00:00

  • Impact of a maternal transport program on a newborn service.

    abstract::We reviewed the maternal transfers for one year (1980) to the Emory Perinatal Center, a tertiary care center for North Georgia. Of 445 telephone consultations or patient referrals, 150 women gave birth at the tertiary center. Indications for maternal transfer were predominantly based on the needs or anticipated needs ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198307000-00004

    authors: Kanto WP Jr,Bryant J,Thigpen J,Ahmann M,Randall H

    更新日期:1983-07-01 00:00:00