Literature DB >> 29428831

Assessment of the Pneumatic Ischemia Technique Using the Limb Occlusion Pressure During Upper Limb Surgery.

María Sáenz-Jalón, María Ángeles Ballesteros-Sanz, Carmen María Sarabia-Cobo, Elena Roscales-Bartolomé, Marta Santiago Fernández, Gema Canal-Cobo, Carmen Higuero-Piris, Begoña Vélez-Carrera, Gema V Sanjuan, Sandra García-Cobo, Blanca Torres-Manrique, María Eugenia Miguel Martín.   

Abstract

PURPOSE: The purpose of our study was to evaluate effective ischemia and its associated complications using the limb occlusion pressure technique versus standard pneumatic ischemia technique.
DESIGN: Single-centered randomized, controlled clinical trial.
METHODS: One hundred sixty participants were randomized into two equal and parallel groups: (1) intervention group-LOP technique, and (2) control group-standard pneumatic ischemia technique.
FINDINGS: Anesthetic incidences (need to administer analgesics for pain and/or hypnotics for anxiety) were similar in both groups. Statistically significant differences were observed for pain, hyperemia, and hospitalization, with higher values in the control group. Patients in the intervention group had, at 95% confidence, a 2.9 times greater chance of having optimal ischemia (assessed as 9 on the analog scale) than patients in the control group (odds ratio, 2.9; 95% confidence interval, 1.4 to 6.1).
CONCLUSIONS: Intervention group patients had lower indexes of hyperemia, pain, and hospital stay.
Copyright © 2017 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  ischemia; nursing care; pain; tourniquet

Mesh:

Year:  2017        PMID: 29428831     DOI: 10.1016/j.jopan.2016.08.017

Source DB:  PubMed          Journal:  J Perianesth Nurs        ISSN: 1089-9472            Impact factor:   1.084


  2 in total

Review 1.  Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review.

Authors:  Judy Munday; Niall Higgins; Saira Mathew; Lizanne Dalgleish; Anthony S Batterbury; Luke Burgess; Jill Campbell; Lori J Delaney; Bronwyn R Griffin; James A Hughes; Jessica Ingleman; Samantha Keogh; Fiona Coyer
Journal:  J Multidiscip Healthc       Date:  2020-07-21

2.  Plasma flow distal to tourniquet placement provides a physiological mechanism for tissue salvage.

Authors:  Emily Busse; Cheryl Hickey; Nicole Vasilakos; Kennon Stewart; Fred O'Brien; Jessica Rivera; Luis Marrero; Michelle Lacey; Rebecca Schroll; Keith Van Meter; Mimi C Sammarco
Journal:  PLoS One       Date:  2020-12-21       Impact factor: 3.752

  2 in total

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