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Published in: World Journal of Emergency Surgery 1/2007

Open Access 01-12-2007 | Review

Tourniquets for the control of traumatic hemorrhage: a review of the literature

Author: Stephen L Richey

Published in: World Journal of Emergency Surgery | Issue 1/2007

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Excerpt

The use of tourniquets for the control of hemorrhage from traumatic injury has been long debated. Opinions on the utility and safety of their use in this setting have alternated between strong endorsement and outright vilification of the device, with each of the camps backing up their contentions with varying levels of anecdotal evidence. The debate is largely fueled by experiences of military surgeons during wartime and the results have changed with changing times, differing systems and circumstances in which they have been utilized. Review of the evidence available in the English language medical literature seems to indicate that while neither camp is entirely correct, neither seems to be entirely without merit. The preservation of life- even at the potential expense of a limb- should without a doubt take precedence, but this should not lead to the abandonment of all possible efforts to minimize the length of time that the tourniquet is in place and the thereby reduce the attendant risk of complications. …
Literature
1.
go back to reference Bellamy RF: The causes of death in conventional land warfare: implications for combat casualty care research. Mil Med. 1984, 149: 55-62.PubMed Bellamy RF: The causes of death in conventional land warfare: implications for combat casualty care research. Mil Med. 1984, 149: 55-62.PubMed
2.
go back to reference Schmit-Neuerburg K, Joka T: Priniciples of treatment and indications for surgery in severe multiple trauma. Acta Chir Belg. 1985, 85: 239-249.PubMed Schmit-Neuerburg K, Joka T: Priniciples of treatment and indications for surgery in severe multiple trauma. Acta Chir Belg. 1985, 85: 239-249.PubMed
3.
go back to reference Asensio JA: Exsanguination from penetrating injuries. Trauma Q. 1990, 6: 1-25. Asensio JA: Exsanguination from penetrating injuries. Trauma Q. 1990, 6: 1-25.
4.
go back to reference Mattox KL, Feliciano DV, Burch J, et al: Five thousand seven hundred sixty cardiovascular injuries in 4459 patients: Epidemiologic evolution 1958 to 1987. Ann Surg. 1989, 209: 698-705. 10.1097/00000658-198906000-00007.PubMedCentralCrossRefPubMed Mattox KL, Feliciano DV, Burch J, et al: Five thousand seven hundred sixty cardiovascular injuries in 4459 patients: Epidemiologic evolution 1958 to 1987. Ann Surg. 1989, 209: 698-705. 10.1097/00000658-198906000-00007.PubMedCentralCrossRefPubMed
5.
go back to reference Mabry RL, Holcomb JB, Baker AM, et al: United States Army Rangers in Somalia: an analysis of combat casualties on an urban battlefield. J Trauma. 2000, 49: 515-528. discussion 528–529CrossRefPubMed Mabry RL, Holcomb JB, Baker AM, et al: United States Army Rangers in Somalia: an analysis of combat casualties on an urban battlefield. J Trauma. 2000, 49: 515-528. discussion 528–529CrossRefPubMed
6.
go back to reference Cuadrado D, Arthurs Z, Sebesta J, et al: Cause of death analysis at the 31st Combat Support Hospital during Operation Iraqi Freedom. 28th Annual Gary P Wratten Army Surgical Symposium; May 2006; Silver Spring, Maryland. 2006, Walter Reed Army Institute of Research Cuadrado D, Arthurs Z, Sebesta J, et al: Cause of death analysis at the 31st Combat Support Hospital during Operation Iraqi Freedom. 28th Annual Gary P Wratten Army Surgical Symposium; May 2006; Silver Spring, Maryland. 2006, Walter Reed Army Institute of Research
7.
go back to reference Carey ME: Analysis of wounds incurred by U.S. Army Seventh Corps personnel treated in Corps hospitals during Operation Desert Storm, February 20 to March 10, 1991. J Trauma. 1996, 40: S165-169.CrossRefPubMed Carey ME: Analysis of wounds incurred by U.S. Army Seventh Corps personnel treated in Corps hospitals during Operation Desert Storm, February 20 to March 10, 1991. J Trauma. 1996, 40: S165-169.CrossRefPubMed
8.
go back to reference Dorlac WC, DeBakey ME, Holcomb JB, Fagan SP, Kwong KL, Dorlac GR, Schreiber MA, Persse DE, Moore FA, Mattox KL: Mortality from isolated civilian penetrating extremity injury. J Trauma. 2005, 59: 217-222.CrossRefPubMed Dorlac WC, DeBakey ME, Holcomb JB, Fagan SP, Kwong KL, Dorlac GR, Schreiber MA, Persse DE, Moore FA, Mattox KL: Mortality from isolated civilian penetrating extremity injury. J Trauma. 2005, 59: 217-222.CrossRefPubMed
9.
go back to reference Rocko JM, Tischler C, Swan K: Exsanguination in public – a preventable death. Journal of Trauma. 1982, 22: 635-CrossRef Rocko JM, Tischler C, Swan K: Exsanguination in public – a preventable death. Journal of Trauma. 1982, 22: 635-CrossRef
10.
go back to reference Rasmussen TE, Clouse WD, Jenkins DH, Peck MA, Eliason JL, Smith DL: Echelons of care and the management of wartime vascular injury: a report from the 332nd EMDG/Air Force Theater Hospital, Balad Air Base, Iraq. Perspect Vasc Surg Endovasc Ther. 2006, 18: 91-99. 10.1177/1531003506293374.CrossRefPubMed Rasmussen TE, Clouse WD, Jenkins DH, Peck MA, Eliason JL, Smith DL: Echelons of care and the management of wartime vascular injury: a report from the 332nd EMDG/Air Force Theater Hospital, Balad Air Base, Iraq. Perspect Vasc Surg Endovasc Ther. 2006, 18: 91-99. 10.1177/1531003506293374.CrossRefPubMed
11.
go back to reference LaDran J: The Operations in the Surgery of Mons. 1749, London: LaDran LaDran J: The Operations in the Surgery of Mons. 1749, London: LaDran
13.
go back to reference Moulin DD: A History of Surgery. 1988, Dordrecht, Netherlands: Marinus Nijhoff PublishersCrossRef Moulin DD: A History of Surgery. 1988, Dordrecht, Netherlands: Marinus Nijhoff PublishersCrossRef
15.
go back to reference Schwartz AM: The historical development of methods of hemostasis. Surgery. 1958, 604-610. Schwartz AM: The historical development of methods of hemostasis. Surgery. 1958, 604-610.
16.
go back to reference Laffin J: Combat Surgeons. 1999, Trowbridge, Wiltshire, United Kingdom: Sutton Publishing Limited Laffin J: Combat Surgeons. 1999, Trowbridge, Wiltshire, United Kingdom: Sutton Publishing Limited
17.
go back to reference Welling DR, Burris DG, Hutton JE, Minken SL, Rich NM: A balanced approach to tourniquet use: lessons learned and relearned. J Am Coll Surg. 2006, 203: 106-115. 10.1016/j.jamcollsurg.2006.02.034.CrossRefPubMed Welling DR, Burris DG, Hutton JE, Minken SL, Rich NM: A balanced approach to tourniquet use: lessons learned and relearned. J Am Coll Surg. 2006, 203: 106-115. 10.1016/j.jamcollsurg.2006.02.034.CrossRefPubMed
18.
go back to reference Wangensteen OH, Wangensteen SD: The Rise of Surgery From Empiric Craft to Scientific Discipline. 1978, Minneapolis, MN: University of Minnesota Press Wangensteen OH, Wangensteen SD: The Rise of Surgery From Empiric Craft to Scientific Discipline. 1978, Minneapolis, MN: University of Minnesota Press
19.
go back to reference Gross SD: A Manual of Military Surgery, or Hints on the Emergencies of Field, Camp and Hospital Practice. 1862, Philadelphia: J.B. Lippincott Gross SD: A Manual of Military Surgery, or Hints on the Emergencies of Field, Camp and Hospital Practice. 1862, Philadelphia: J.B. Lippincott
20.
go back to reference Macleod G: Notes on the Surgery of the War in the Crimea with Remarks on the Treatment of Gunshot Wounds. 1862, Philadelphia, PA: J.B. Lippincott Macleod G: Notes on the Surgery of the War in the Crimea with Remarks on the Treatment of Gunshot Wounds. 1862, Philadelphia, PA: J.B. Lippincott
21.
go back to reference Gross SD: Diseases and injuries of the arteries. A System of Surgery: Pathological, Diagnostic Therapeutic and Operative. Edited by: Gross SD. 1862, Philadelphia, PA: J.B. Lippincott Gross SD: Diseases and injuries of the arteries. A System of Surgery: Pathological, Diagnostic Therapeutic and Operative. Edited by: Gross SD. 1862, Philadelphia, PA: J.B. Lippincott
22.
go back to reference Otis GA, Huntington DL: Shot wounds in the upper arm. Medical and Surgical History of the War of the Rebellion. Edited by: Barnes JK. 1883, Washington, DC: Government Printing Office, II: 824-825. 2 Otis GA, Huntington DL: Shot wounds in the upper arm. Medical and Surgical History of the War of the Rebellion. Edited by: Barnes JK. 1883, Washington, DC: Government Printing Office, II: 824-825. 2
23.
go back to reference Longmore T: Treatment of gunshot wounds. Gunshot Injuries: Their History, Characteristic Features, Complications and General Treatment, with Statistics Concerning Them as They Have Been Met With in Warfare. 1895, London: Longman's, Green and Company, 770-772. Longmore T: Treatment of gunshot wounds. Gunshot Injuries: Their History, Characteristic Features, Complications and General Treatment, with Statistics Concerning Them as They Have Been Met With in Warfare. 1895, London: Longman's, Green and Company, 770-772.
24.
25.
go back to reference Chisolm JJ: Hemorrhage in gunshot wounds. A Manual of Military Surgery for the Use of the Surgeons of the Confederate States Army. 1864, Richmond, VA: West and Johnson, 169-171. Chisolm JJ: Hemorrhage in gunshot wounds. A Manual of Military Surgery for the Use of the Surgeons of the Confederate States Army. 1864, Richmond, VA: West and Johnson, 169-171.
26.
go back to reference Tuffier M: Contemporary French surgery. Br J Surg. 1915, 3: 100-10.1002/bjs.1800030911.CrossRef Tuffier M: Contemporary French surgery. Br J Surg. 1915, 3: 100-10.1002/bjs.1800030911.CrossRef
27.
go back to reference Injuries and Diseases of War. 1918, Washington, DC Injuries and Diseases of War. 1918, Washington, DC
28.
go back to reference Tuttle AD: Handbook for the Medical Soldier. 1926, New York: William Wood and Company Tuttle AD: Handbook for the Medical Soldier. 1926, New York: William Wood and Company
29.
go back to reference Bailey H: Surgery of Modern Warfare. 1941, Edinburgh: E&S Livingstone Bailey H: Surgery of Modern Warfare. 1941, Edinburgh: E&S Livingstone
30.
go back to reference Manual of Therapy: European Theater of Operations. 1944 Manual of Therapy: European Theater of Operations. 1944
31.
go back to reference Wolff LH, Adkins TF: Tourniquet problems in war injuries. Bulletin of the US Army Medical Department. 1945, 37: 77-84. Wolff LH, Adkins TF: Tourniquet problems in war injuries. Bulletin of the US Army Medical Department. 1945, 37: 77-84.
32.
go back to reference Cosmas GA, Cowdrey AE: The Medical Department: Medical Service in the European Theater of Opeartions. 1992, Washington, DC: United States Army Center for Military History Cosmas GA, Cowdrey AE: The Medical Department: Medical Service in the European Theater of Opeartions. 1992, Washington, DC: United States Army Center for Military History
33.
go back to reference Walters TJ, Mabry RL: Issues related to the use of tourniquets on the battlefield. Mil Med. 2005, 170: 770-775.CrossRefPubMed Walters TJ, Mabry RL: Issues related to the use of tourniquets on the battlefield. Mil Med. 2005, 170: 770-775.CrossRefPubMed
34.
go back to reference Ogilvie WH: War surgery in Africa. Br J Surg. 1944, 31: 313-324. 10.1002/bjs.18003112402.CrossRef Ogilvie WH: War surgery in Africa. Br J Surg. 1944, 31: 313-324. 10.1002/bjs.18003112402.CrossRef
35.
go back to reference Blackburn G: Surgery in the field. Lancet. 1944, 31: 313-324. Blackburn G: Surgery in the field. Lancet. 1944, 31: 313-324.
36.
go back to reference Bowers WF, Hughes CW: Surgical Philosophy in Mass Casualty Management. 1960, Springfield, IL: Charles C Thomas Bowers WF, Hughes CW: Surgical Philosophy in Mass Casualty Management. 1960, Springfield, IL: Charles C Thomas
37.
go back to reference Hughes CW: The primary repair of wounds of major arteries; an analysis of experience in Korea in 1953. Ann Surg. 1955, 141: 297-303. 10.1097/00000658-195503000-00002.PubMedCentralCrossRefPubMed Hughes CW: The primary repair of wounds of major arteries; an analysis of experience in Korea in 1953. Ann Surg. 1955, 141: 297-303. 10.1097/00000658-195503000-00002.PubMedCentralCrossRefPubMed
39.
go back to reference Rich NM, Spencer FC: Vascular Trauma. 1978, Philadelphia, PA: W.B. Saunders Rich NM, Spencer FC: Vascular Trauma. 1978, Philadelphia, PA: W.B. Saunders
40.
go back to reference Lakstein D, Blumenfeld A, Sokolov T, Lin G, Bssorai R, Lynn M, Ben-Abraham R: Tourniquets for hemorrhage control on the battlefield: a 4-year accumulated experience. J Trauma. 2003, 54: S221-225.PubMed Lakstein D, Blumenfeld A, Sokolov T, Lin G, Bssorai R, Lynn M, Ben-Abraham R: Tourniquets for hemorrhage control on the battlefield: a 4-year accumulated experience. J Trauma. 2003, 54: S221-225.PubMed
41.
go back to reference Husum H, Gilbert M, Wisborg T, Pillgram-Larsen J: Prehospital tourniquets: there should be no controversy. J Trauma. 2004, 56: 214-215.CrossRefPubMed Husum H, Gilbert M, Wisborg T, Pillgram-Larsen J: Prehospital tourniquets: there should be no controversy. J Trauma. 2004, 56: 214-215.CrossRefPubMed
42.
go back to reference Butler FKJ, Hagmann J, Butler EG: Tactical combat casualty care in special operations. Mil Med. 1996, 161: 3-16.PubMed Butler FKJ, Hagmann J, Butler EG: Tactical combat casualty care in special operations. Mil Med. 1996, 161: 3-16.PubMed
43.
go back to reference Butler FKJ, Hagmann JH, Richards DT: Tactical managment of urban warfare casualties in special operations. Mil Med. 2000, 165: 1-48.PubMed Butler FKJ, Hagmann JH, Richards DT: Tactical managment of urban warfare casualties in special operations. Mil Med. 2000, 165: 1-48.PubMed
44.
go back to reference Butler FKJ: Tactical medicine training for SEAL mission commanders. Mil Med. 2001, 166: 625-631.PubMed Butler FKJ: Tactical medicine training for SEAL mission commanders. Mil Med. 2001, 166: 625-631.PubMed
45.
go back to reference Chambers LW, Rhee P, Baker BC, et al: Initial experience of the US Marine Corp Forward Resuscitative Surgical System during Operation Iraqi Freedom. Arch Surg. 2005, 140: 26-32. 10.1001/archsurg.140.1.26.CrossRefPubMed Chambers LW, Rhee P, Baker BC, et al: Initial experience of the US Marine Corp Forward Resuscitative Surgical System during Operation Iraqi Freedom. Arch Surg. 2005, 140: 26-32. 10.1001/archsurg.140.1.26.CrossRefPubMed
46.
go back to reference Rich NM: Vietnam missile wounds evaluated in 750 patients. Mil Med. 1968, 133: 9-22.PubMed Rich NM: Vietnam missile wounds evaluated in 750 patients. Mil Med. 1968, 133: 9-22.PubMed
49.
go back to reference Fox CA, O'Donnell SD, Gillespie DL, Rasmussen TE, Johnson CA, Parker MV, Goff JM, Rich NM: The contemporary management of war time vascular injury. J Vasc Surg. 2005, 41: 638-644. 10.1016/j.jvs.2005.01.010.CrossRefPubMed Fox CA, O'Donnell SD, Gillespie DL, Rasmussen TE, Johnson CA, Parker MV, Goff JM, Rich NM: The contemporary management of war time vascular injury. J Vasc Surg. 2005, 41: 638-644. 10.1016/j.jvs.2005.01.010.CrossRefPubMed
50.
go back to reference Rich NM, Hughes CW: Vietnam vascular registry: a preliminary report. Surgery. 1969, 65: 218-226.PubMed Rich NM, Hughes CW: Vietnam vascular registry: a preliminary report. Surgery. 1969, 65: 218-226.PubMed
51.
go back to reference Rich NM, Baugh JH, Hughes CW: Acute arterial injuries in Vietnam: 1,000 cases. J Trauma. 1970, 10: 359-369.CrossRefPubMed Rich NM, Baugh JH, Hughes CW: Acute arterial injuries in Vietnam: 1,000 cases. J Trauma. 1970, 10: 359-369.CrossRefPubMed
52.
go back to reference Owens BD, Wenke JC, Svoboda SJ, White DW: Extremity trauma research in the United States army. J Am Acad Orthop Surg. 2006, 14: S37-40.PubMed Owens BD, Wenke JC, Svoboda SJ, White DW: Extremity trauma research in the United States army. J Am Acad Orthop Surg. 2006, 14: S37-40.PubMed
53.
go back to reference Burris DG, Fitzharris JB, Holcomb JB, Eds, et al: Emergency War Surgery,. 2004, Washington, DC: United States Department of Defense, 3 Burris DG, Fitzharris JB, Holcomb JB, Eds, et al: Emergency War Surgery,. 2004, Washington, DC: United States Department of Defense, 3
54.
go back to reference Calkins D, Snow C, Costello M, et al: Evaluation of possible battlefield tourniquet systems for the far forward setting. Mil Med. 2000, 165: 379-384.PubMed Calkins D, Snow C, Costello M, et al: Evaluation of possible battlefield tourniquet systems for the far forward setting. Mil Med. 2000, 165: 379-384.PubMed
55.
go back to reference Maricevic A, Erceg M: War injuries to the extremities. Mil Med. 1997, 162: 808-811.PubMed Maricevic A, Erceg M: War injuries to the extremities. Mil Med. 1997, 162: 808-811.PubMed
56.
go back to reference Beekley A, Sebesta J, Blackbourne L, et al: Pre-hospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. 36th Annual Scientific Meeting of the Western Trauma Association. 2006, Big Sky, Montana Beekley A, Sebesta J, Blackbourne L, et al: Pre-hospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. 36th Annual Scientific Meeting of the Western Trauma Association. 2006, Big Sky, Montana
57.
58.
go back to reference Aucar JA, Hirshberg A: Damage control for vascular injuries. Surg Clin North Am. 1997, 77: 853-862. 10.1016/S0039-6109(05)70589-2.CrossRefPubMed Aucar JA, Hirshberg A: Damage control for vascular injuries. Surg Clin North Am. 1997, 77: 853-862. 10.1016/S0039-6109(05)70589-2.CrossRefPubMed
59.
go back to reference American College of Surgeons: Advanced Trauma Life Support for Doctors (faculty material). 2004, Chicago, Illinois: American College of Surgeons, 7 American College of Surgeons: Advanced Trauma Life Support for Doctors (faculty material). 2004, Chicago, Illinois: American College of Surgeons, 7
60.
go back to reference American College of Surgeons: Advanced Trauma Life Support for Doctors (student course manual). 2004, Chicago, IL: American College of Surgeons, 7 American College of Surgeons: Advanced Trauma Life Support for Doctors (student course manual). 2004, Chicago, IL: American College of Surgeons, 7
61.
go back to reference US Army Survival Manual. 1999, New York City, NY: Dorset Press US Army Survival Manual. 1999, New York City, NY: Dorset Press
62.
go back to reference National First Aid Science Advisory Board: First aid. Circulation. 2005, 112: 196-203. National First Aid Science Advisory Board: First aid. Circulation. 2005, 112: 196-203.
63.
go back to reference 172,000 new tourniquets ordered for U.S. soldiers. Baltimore Sun. 2005, Baltimore, MD 172,000 new tourniquets ordered for U.S. soldiers. Baltimore Sun. 2005, Baltimore, MD
64.
go back to reference UPI: Troups getting tourniquets for Iraq. Washington Times (UPI). 2005, Washington, DC UPI: Troups getting tourniquets for Iraq. Washington Times (UPI). 2005, Washington, DC
65.
go back to reference Wenke JC, Walters TJ: Physiologic evaluation of the US Army one-handed tourniquet. Mil Med. 2005, 170: 776-781.CrossRefPubMed Wenke JC, Walters TJ: Physiologic evaluation of the US Army one-handed tourniquet. Mil Med. 2005, 170: 776-781.CrossRefPubMed
66.
go back to reference Rasmussen TE, Clouse WD, Jenkins DH, Peck MA, Eliason JL, Smith DL: The use of temporary vascular shunts as a damage control adjunct in the management of wartime vascular injury. J Trauma. 2006, 61: 8-15.CrossRefPubMed Rasmussen TE, Clouse WD, Jenkins DH, Peck MA, Eliason JL, Smith DL: The use of temporary vascular shunts as a damage control adjunct in the management of wartime vascular injury. J Trauma. 2006, 61: 8-15.CrossRefPubMed
67.
go back to reference Clouse WD, Rasmussen TE, Perlstein J, et al: Upper extremity vascular injury: A current in-theater wartime report from Operation Iraqi Freedom. Ann Vasc Surg. 2006, 20: 429-434. 10.1007/s10016-006-9090-3.CrossRefPubMed Clouse WD, Rasmussen TE, Perlstein J, et al: Upper extremity vascular injury: A current in-theater wartime report from Operation Iraqi Freedom. Ann Vasc Surg. 2006, 20: 429-434. 10.1007/s10016-006-9090-3.CrossRefPubMed
68.
go back to reference Kauvar DS, Walters TJ, Baer DG, Holcomb JB: Influence of systemic hypotension on skeletal muscle ischemia reperfusion injury following four-hour tourniquet application. Eastern Association for Surgery of Trauma 19th Annual Scientific Assembly. 2006, Orlando, FL Kauvar DS, Walters TJ, Baer DG, Holcomb JB: Influence of systemic hypotension on skeletal muscle ischemia reperfusion injury following four-hour tourniquet application. Eastern Association for Surgery of Trauma 19th Annual Scientific Assembly. 2006, Orlando, FL
69.
go back to reference Beekley AC, Starnes BW, Sebesta JA: Lessons learned from modern military surgery. Surg Clin North Am. 2007, 87: 157-184. 10.1016/j.suc.2006.09.008. viiCrossRefPubMed Beekley AC, Starnes BW, Sebesta JA: Lessons learned from modern military surgery. Surg Clin North Am. 2007, 87: 157-184. 10.1016/j.suc.2006.09.008. viiCrossRefPubMed
70.
go back to reference Little R: Modern combat lacking in old medical supply. Baltimore Sun. 2005, Baltimore, MD Little R: Modern combat lacking in old medical supply. Baltimore Sun. 2005, Baltimore, MD
71.
go back to reference Tactical Combat Casualty Care Manual. 2005, Washington, DC: Department of Defense Tactical Combat Casualty Care Manual. 2005, Washington, DC: Department of Defense
72.
go back to reference Walters TJ, Kauvar DS, Baer DG, Holcomb JB: Battlefield tourniquets: modern combat lifesavers. Army Medical Department Journal. 2005, 42-43. Walters TJ, Kauvar DS, Baer DG, Holcomb JB: Battlefield tourniquets: modern combat lifesavers. Army Medical Department Journal. 2005, 42-43.
73.
go back to reference PHTLS: Basic and Advanced Prehospital Trauma Life Support (military version). 2005, St. Louis, MO: Elsevier Mosby, 5 PHTLS: Basic and Advanced Prehospital Trauma Life Support (military version). 2005, St. Louis, MO: Elsevier Mosby, 5
74.
go back to reference Covey DC: Blast and fragment injuries of the musculoskeletal system. J Bone Joint Surg Am. 2002, 84-A: 1221-1234.PubMed Covey DC: Blast and fragment injuries of the musculoskeletal system. J Bone Joint Surg Am. 2002, 84-A: 1221-1234.PubMed
75.
go back to reference Lovric Z, Lehner V, Wertheimer B, Kosic-Lovric L: Tourniquet occlusion technique for lower extremity artery reconstruction in war wound. J Cardiovasc Surg (Torino). 1997, 38: 153-155. Lovric Z, Lehner V, Wertheimer B, Kosic-Lovric L: Tourniquet occlusion technique for lower extremity artery reconstruction in war wound. J Cardiovasc Surg (Torino). 1997, 38: 153-155.
76.
go back to reference Beekley AC, Watts DM: Combat trauma experience with the United States Army 102nd Forward Surgical Team in Afghanistan. Am J Surg. 2004, 187: 652-654. 10.1016/j.amjsurg.2004.02.001.CrossRefPubMed Beekley AC, Watts DM: Combat trauma experience with the United States Army 102nd Forward Surgical Team in Afghanistan. Am J Surg. 2004, 187: 652-654. 10.1016/j.amjsurg.2004.02.001.CrossRefPubMed
77.
go back to reference Sebesta J: Special lessons learned from Iraq. Surg Clin North Am. 2006, 86: 711-726. 10.1016/j.suc.2006.03.002.CrossRefPubMed Sebesta J: Special lessons learned from Iraq. Surg Clin North Am. 2006, 86: 711-726. 10.1016/j.suc.2006.03.002.CrossRefPubMed
78.
go back to reference Odinsson A, Finsen V: Tourniquet use and its complications in Norway. J Bone Joint Surg Br. 2006, 88: 1090-1092. 10.1302/0301-620X.88B8.17668.CrossRefPubMed Odinsson A, Finsen V: Tourniquet use and its complications in Norway. J Bone Joint Surg Br. 2006, 88: 1090-1092. 10.1302/0301-620X.88B8.17668.CrossRefPubMed
79.
go back to reference Shenton DW, Spitzer SA, Mulrennan BM: Tourniquet-induced rhabdomyolysis: a case report. J Bone Joint Surg Am. 1990, 72: 1405-1406.PubMed Shenton DW, Spitzer SA, Mulrennan BM: Tourniquet-induced rhabdomyolysis: a case report. J Bone Joint Surg Am. 1990, 72: 1405-1406.PubMed
80.
go back to reference Pfeiffer PM: Acute rhabdomyolysis following surgery for burns: possible role of tourniquet ischaemia. Anaesthesia. 1986, 41: 614-619. 10.1111/j.1365-2044.1986.tb13054.x.CrossRef Pfeiffer PM: Acute rhabdomyolysis following surgery for burns: possible role of tourniquet ischaemia. Anaesthesia. 1986, 41: 614-619. 10.1111/j.1365-2044.1986.tb13054.x.CrossRef
81.
go back to reference Williams JEJ, Tucker DS, Read JMI: Rhabdomyolysis-myoglobinuria: consequences of prolonged tourniquet. J Foot Surg. 1986, 22: 52-56. Williams JEJ, Tucker DS, Read JMI: Rhabdomyolysis-myoglobinuria: consequences of prolonged tourniquet. J Foot Surg. 1986, 22: 52-56.
82.
go back to reference Defraigne JO, Pincemail J: Local and systemic consequences of severe ischemia and reperfusion of the skeletal muscle. Physiopathology and prevention. Acta Chir Belg. 1998, 98: 176-186.PubMed Defraigne JO, Pincemail J: Local and systemic consequences of severe ischemia and reperfusion of the skeletal muscle. Physiopathology and prevention. Acta Chir Belg. 1998, 98: 176-186.PubMed
83.
go back to reference Huerta-Alardin AL, Varon J, Marik PE: Bench to bedside review: rhabdomyolysis – a review for clinicians. Crit Care. 2005, 9: 158-169. 10.1186/cc2978.PubMedCentralCrossRefPubMed Huerta-Alardin AL, Varon J, Marik PE: Bench to bedside review: rhabdomyolysis – a review for clinicians. Crit Care. 2005, 9: 158-169. 10.1186/cc2978.PubMedCentralCrossRefPubMed
84.
go back to reference Vold PL, Weiss PJ: Rhabdomyolysis from tourniquet trauma in a patient with hypothyroidism. West J Med. 1995, 162: 270-271.PubMedCentralPubMed Vold PL, Weiss PJ: Rhabdomyolysis from tourniquet trauma in a patient with hypothyroidism. West J Med. 1995, 162: 270-271.PubMedCentralPubMed
85.
go back to reference Wakai A, Wang JH, Winter DC, Street JT, O'Sullivan RG, Redmond HP: Tourniquet-induced systemic inflammatory response in extremity surgery. J Trauma. 2001, 51: 922-926.CrossRefPubMed Wakai A, Wang JH, Winter DC, Street JT, O'Sullivan RG, Redmond HP: Tourniquet-induced systemic inflammatory response in extremity surgery. J Trauma. 2001, 51: 922-926.CrossRefPubMed
86.
go back to reference Kam PCA: Uses and precautions of tourniquets. Surgery. 2005, 23: 76-77. Kam PCA: Uses and precautions of tourniquets. Surgery. 2005, 23: 76-77.
87.
go back to reference Kornbluth ID, Freedman MK, Sher L, Frederick RW: Femoral and saphenous nerve palsy after tourniquet use: a case report. Arch Phys Med Rehabil. 2003, 84: 909-911. 10.1016/S0003-9993(02)04809-8.CrossRefPubMed Kornbluth ID, Freedman MK, Sher L, Frederick RW: Femoral and saphenous nerve palsy after tourniquet use: a case report. Arch Phys Med Rehabil. 2003, 84: 909-911. 10.1016/S0003-9993(02)04809-8.CrossRefPubMed
88.
go back to reference Landi A, Saracino A, Pinelli M, Caserta G, Facchini MC: Tourniquet paralysis in microsurgery. Ann Acad Med Singapore. 1995, 24: 89-93.PubMed Landi A, Saracino A, Pinelli M, Caserta G, Facchini MC: Tourniquet paralysis in microsurgery. Ann Acad Med Singapore. 1995, 24: 89-93.PubMed
89.
go back to reference Middleton RW, Varian JP: Tourniquet paralysis. Australian and New Zealand Journal of Surgery. 1974, 44: 124-128.CrossRefPubMed Middleton RW, Varian JP: Tourniquet paralysis. Australian and New Zealand Journal of Surgery. 1974, 44: 124-128.CrossRefPubMed
90.
go back to reference Kokki H, Vaatainen U, Penttila I: Metabolic effects of a low-pressure tourniquet system compared with a high-pressure tourniquet system in arthroscopi cruciate ligament reconstruction. Acta Anaesthesiol Scand. 1998, 42: 418-424.CrossRefPubMed Kokki H, Vaatainen U, Penttila I: Metabolic effects of a low-pressure tourniquet system compared with a high-pressure tourniquet system in arthroscopi cruciate ligament reconstruction. Acta Anaesthesiol Scand. 1998, 42: 418-424.CrossRefPubMed
91.
go back to reference Mohler LR, Pedowitz RA, Lopez MA, Gershuni DH: Effect of tourniquet compression on neuromuscular function. Clin Orthop. 1999, 213-220. Mohler LR, Pedowitz RA, Lopez MA, Gershuni DH: Effect of tourniquet compression on neuromuscular function. Clin Orthop. 1999, 213-220.
92.
go back to reference Graham B, Breault MJ, McEwen JA, McGraw RW: Perineural pressures under the pneumatic tourniquet in the upper extremity. J Hand Surg [Br]. 1992, 17-B: 262-266. 10.1016/0266-7681(92)90111-E.CrossRef Graham B, Breault MJ, McEwen JA, McGraw RW: Perineural pressures under the pneumatic tourniquet in the upper extremity. J Hand Surg [Br]. 1992, 17-B: 262-266. 10.1016/0266-7681(92)90111-E.CrossRef
93.
go back to reference Klenerman L: Further opinion: tourniquet use and its complications in Norway. J Bone Joint Surg Br. 2006, 88: 1090-1092. 10.1302/0301-620X.88B8.17668. Klenerman L: Further opinion: tourniquet use and its complications in Norway. J Bone Joint Surg Br. 2006, 88: 1090-1092. 10.1302/0301-620X.88B8.17668.
94.
go back to reference Bunker TD, Ratliff AH: Uncontrollable bleeding under tourniquet. Br Med J (Clin Res Ed). 1984, 288: 1905-CrossRef Bunker TD, Ratliff AH: Uncontrollable bleeding under tourniquet. Br Med J (Clin Res Ed). 1984, 288: 1905-CrossRef
95.
go back to reference Jeyaseelan S, Stevenson TM, Pfitzner J: Tourniquet failure and arterial calcification. Anaesthesia. 1981, 36: 48-50. 10.1111/j.1365-2044.1981.tb08599.x.CrossRefPubMed Jeyaseelan S, Stevenson TM, Pfitzner J: Tourniquet failure and arterial calcification. Anaesthesia. 1981, 36: 48-50. 10.1111/j.1365-2044.1981.tb08599.x.CrossRefPubMed
96.
go back to reference Klenerman L, Lewis JD: Incompressible vessels. Lancet. 1976, 811-812. 10.1016/S0140-6736(76)91657-3. Klenerman L, Lewis JD: Incompressible vessels. Lancet. 1976, 811-812. 10.1016/S0140-6736(76)91657-3.
97.
go back to reference Klenerman L: The Tourniquet Manual. 2003, London: Springer Klenerman L: The Tourniquet Manual. 2003, London: Springer
98.
go back to reference Paletta FX, Willman V, Ship AG: Prolonged tourniquet ischemia of extremities. J Bone Joint Surg Am. 1960, 42-A: 945-950. Paletta FX, Willman V, Ship AG: Prolonged tourniquet ischemia of extremities. J Bone Joint Surg Am. 1960, 42-A: 945-950.
99.
go back to reference Irving GA, Noakes TD: The protective role of local hypothermia in tourniquet-induced ischaemia of muscle. J Bone Joint Surg Br. 1985, 67: 297-301.PubMed Irving GA, Noakes TD: The protective role of local hypothermia in tourniquet-induced ischaemia of muscle. J Bone Joint Surg Br. 1985, 67: 297-301.PubMed
100.
go back to reference Swanson AB, Livengood LC, Sattel AB: Local hypothermia to prolong safe tourniquet time. Clin Orthop Relat Res. 1991, 264: 200-208.PubMed Swanson AB, Livengood LC, Sattel AB: Local hypothermia to prolong safe tourniquet time. Clin Orthop Relat Res. 1991, 264: 200-208.PubMed
101.
go back to reference Fish JS, McKee NH, Kuzon WM, Plyley MJ: The effect of hypothermia on changes in isometric contractile function in skeletal muscle after tourniquet ischemia. J Hand Surg [Am]. 1993, 18: 210-217. 10.1016/0363-5023(93)90348-7.CrossRef Fish JS, McKee NH, Kuzon WM, Plyley MJ: The effect of hypothermia on changes in isometric contractile function in skeletal muscle after tourniquet ischemia. J Hand Surg [Am]. 1993, 18: 210-217. 10.1016/0363-5023(93)90348-7.CrossRef
Metadata
Title
Tourniquets for the control of traumatic hemorrhage: a review of the literature
Author
Stephen L Richey
Publication date
01-12-2007
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2007
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-2-28

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