Cargando…
Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
Sterile silicone ring tourniquets (SSRTs) reduce intraoperative bleeding and provide a wide surgical view. Moreover, they reduce the risk of contamination and are cheaper than conventional pneumatic tourniquets. Our study describes the perioperative outcomes of sterile silicone ring tourniquet place...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10301790/ https://www.ncbi.nlm.nih.gov/pubmed/37373968 http://dx.doi.org/10.3390/jpm13060979 |
_version_ | 1785064895959531520 |
---|---|
author | Bae, Kunhyung Kim, Gisu Aldosari, Amaal M. Gim, Yeonji Kwak, Yoon Hae |
author_facet | Bae, Kunhyung Kim, Gisu Aldosari, Amaal M. Gim, Yeonji Kwak, Yoon Hae |
author_sort | Bae, Kunhyung |
collection | PubMed |
description | Sterile silicone ring tourniquets (SSRTs) reduce intraoperative bleeding and provide a wide surgical view. Moreover, they reduce the risk of contamination and are cheaper than conventional pneumatic tourniquets. Our study describes the perioperative outcomes of sterile silicone ring tourniquet placement in pediatric patients undergoing orthopedic surgery. We prospectively recruited 27 pediatric patients aged < 18 years who underwent 30 orthopedic surgeries between March and September 2021. Following complete surgical draping, all operations were initiated by placing SSRTs. We investigated the demographic and clinical characteristics of these patients, details of the tourniquet used, and intra- and postoperative outcomes of tourniquet placement. Owing to the narrowness of tourniquet bands and tourniquet placement at the proximal ends of the extremities, wide surgical fields were achieved, without limiting joint range of motion. Bleeding control was effective. Tourniquets were applied and removed rapidly and safely, regardless of limb circumference. None of the patients experienced postoperative pain, paresthesia, skin problems at the application site, surgical site infections, ischemic problems, or deep vein thrombosis. SSRTs effectively reduced intraoperative blood loss and facilitated wide operative fields in pediatric patients with various limb sizes. These tourniquets allow quick, safe, and effective orthopedic surgery for pediatric patients. |
format | Online Article Text |
id | pubmed-10301790 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103017902023-06-29 Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery Bae, Kunhyung Kim, Gisu Aldosari, Amaal M. Gim, Yeonji Kwak, Yoon Hae J Pers Med Article Sterile silicone ring tourniquets (SSRTs) reduce intraoperative bleeding and provide a wide surgical view. Moreover, they reduce the risk of contamination and are cheaper than conventional pneumatic tourniquets. Our study describes the perioperative outcomes of sterile silicone ring tourniquet placement in pediatric patients undergoing orthopedic surgery. We prospectively recruited 27 pediatric patients aged < 18 years who underwent 30 orthopedic surgeries between March and September 2021. Following complete surgical draping, all operations were initiated by placing SSRTs. We investigated the demographic and clinical characteristics of these patients, details of the tourniquet used, and intra- and postoperative outcomes of tourniquet placement. Owing to the narrowness of tourniquet bands and tourniquet placement at the proximal ends of the extremities, wide surgical fields were achieved, without limiting joint range of motion. Bleeding control was effective. Tourniquets were applied and removed rapidly and safely, regardless of limb circumference. None of the patients experienced postoperative pain, paresthesia, skin problems at the application site, surgical site infections, ischemic problems, or deep vein thrombosis. SSRTs effectively reduced intraoperative blood loss and facilitated wide operative fields in pediatric patients with various limb sizes. These tourniquets allow quick, safe, and effective orthopedic surgery for pediatric patients. MDPI 2023-06-10 /pmc/articles/PMC10301790/ /pubmed/37373968 http://dx.doi.org/10.3390/jpm13060979 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bae, Kunhyung Kim, Gisu Aldosari, Amaal M. Gim, Yeonji Kwak, Yoon Hae Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery |
title | Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery |
title_full | Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery |
title_fullStr | Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery |
title_full_unstemmed | Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery |
title_short | Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery |
title_sort | sterile silicone ring tourniquets in limb surgery: a prospective clinical trial in pediatric patients undergoing orthopedic surgery |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10301790/ https://www.ncbi.nlm.nih.gov/pubmed/37373968 http://dx.doi.org/10.3390/jpm13060979 |
work_keys_str_mv | AT baekunhyung sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery AT kimgisu sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery AT aldosariamaalm sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery AT gimyeonji sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery AT kwakyoonhae sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery |