A maneuver for improved positioning of a tourniquet in the obese patient.

Abstract:

:Proximal positioning of an arterial tourniquet will be greatly facilitated by having an assistant firmly draw the skin and subcutaneous tissue distally prior to positioning the cast padding and tourniquet. This simple maneuver is clearly not part of current practice or training, despite the simplicity and effectiveness. Excessive tourniquet tightening should be avoided prior to fixing the Velcro fasteners, a practice which is commonly employed and is not only ineffective in maintaining proximal tourniquet positioning, but also deleterious in that it creates a "venous tourniquet" effect. Loosening of the restraining adhesive tapes and unnecessary traction of adhesive tape on sensitive skin can be avoided by bringing the extremity to its resting position before fastening the tape proximal to the tourniquet.

journal_name

Clin Orthop Relat Res

authors

Krackow KA

subject

Has Abstract

pub_date

1982-08-01 00:00:00

pages

80-2

issue

168

eissn

0009-921X

issn

1528-1132

pub_type

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