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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia del Piede 2010 August;34(2):111-7
Hemostatic tourniquet complications
Napoli V., Napoli E.
1 Centro di Chirurgia del Piede, Clinica “Fornaca di Sessant”,, Torino
2 Villa Maria Pia Hospital, Torino
In orthopedic surgery of the extremities, tourniquet compression and prior blood evacuation are routine and usually safe maneuvers but sometimes may be accompanied by events and complications resulting not infrequently from gross technical errors not due to the method but rather to incorrect procedures. The consequences are local and/or systemic alterations. Common local sequelae include pain, skin lesions, burns, edema, vascular lesions, and muscle paralysis; systemic events include altered hemodynamics, rhabdomyolysis, thermal variation, metabolic alterations, and pulmonary embolus. Knowledge of the errors and complications resulting from inappropriate management of ischemic compression is essential in the prevention of incorrect practices and establishment of corrective safety actions.