Hakan Boya1, Bahattin Tuncalı2, Özal Özcan3, Şükrü Araç4, Cengiz Tuncay5. 1. Başkent University Faculty of Medicine, Zübeyde Hanim Practice and Research Center, Department of Orthopaedics and Traumatology, İzmir, Turkey. hakanboya@yahoo.com. 2. Başkent University Faculty of Medicine, Zübeyde Hanim Practice and Research Center, Department of Anesthesiology, İzmir, Turkey. 3. Afyonkocatepe University Faculty of Medicine, Department of Orthopaedics and Traumatology, Afyonkocatepe, Turkey. 4. Başkent University Faculty of Medicine, Zübeyde Hanim Practice and Research Center, Department of Orthopaedics and Traumatology, İzmir, Turkey. 5. Başkent University Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey.
Abstract
OBJECTIVE: The aim of the present pilot study was to evaluate patterns in the current practice of tourniquet use in Turkey. The results of this study can provide detailed information regarding tourniquet use and evaluate the need for guidelines on tourniquet use in Turkey. METHODS: The questionnaire was sent to orthopedic residents and surgeons by either giving printed questionnaires directly or by establishing preliminary communication with surgeons and then sending questionnaires by e-mail. Participating staff consisted of 3 groups: Group 1: orthopedic surgeons; Group 2: orthopedic residents; and Group 3: orthopedic academic staff. Statistical differences in tourniquet use were analyzed among the groups. RESULTS: Use of mechanical tourniquet was significantly higher in Group 1. Plain cuffs were used in orthopedic surgical practice more frequently. Assistant and orthopedic theatre personnel were commonly reported by participants as the tourniquet applicant. Periodic educational practice was not routine. The number of reported complications was higher in Group 3. Cuff padding was generally routine practice. Scientifically valid options at lowest inflation pressure were not observed among the results at the expected rates. CONCLUSION: The results of this pilot study indicate that there is wide variation in some aspects of tourniquet practice in Turkey. The differences are not acceptable because of the potential for significant complications with some practices. There is a need to provide and ensure adequate education to provide the best patient care. Furthermore, protocols should be developed for acceptable standards of tourniquet use.
OBJECTIVE: The aim of the present pilot study was to evaluate patterns in the current practice of tourniquet use in Turkey. The results of this study can provide detailed information regarding tourniquet use and evaluate the need for guidelines on tourniquet use in Turkey. METHODS: The questionnaire was sent to orthopedic residents and surgeons by either giving printed questionnaires directly or by establishing preliminary communication with surgeons and then sending questionnaires by e-mail. Participating staff consisted of 3 groups: Group 1: orthopedic surgeons; Group 2: orthopedic residents; and Group 3: orthopedic academic staff. Statistical differences in tourniquet use were analyzed among the groups. RESULTS: Use of mechanical tourniquet was significantly higher in Group 1. Plain cuffs were used in orthopedic surgical practice more frequently. Assistant and orthopedic theatre personnel were commonly reported by participants as the tourniquet applicant. Periodic educational practice was not routine. The number of reported complications was higher in Group 3. Cuff padding was generally routine practice. Scientifically valid options at lowest inflation pressure were not observed among the results at the expected rates. CONCLUSION: The results of this pilot study indicate that there is wide variation in some aspects of tourniquet practice in Turkey. The differences are not acceptable because of the potential for significant complications with some practices. There is a need to provide and ensure adequate education to provide the best patient care. Furthermore, protocols should be developed for acceptable standards of tourniquet use.
Authors: Muhamed M Farhan-Alanie; Fatema Dhaif; Alex Trompeter; Martin Underwood; Joyce Yeung; Nick Parsons; Andy Metcalfe; Peter D H Wall Journal: Eur J Orthop Surg Traumatol Date: 2021-04-01