Pneumatic Tourniquet Application in Upper Extremity Surgeries

Summary

Purpose: This study investigated the effect of cuff pressure and the selection of protective padding material(PPM) on the prevention of skin complications associated with pneumatic tourniquet(PT) application in upper extremity surgery.

Methods: This randomized controlled trial was conducted between October 2022 and September 2023 at the Hand Surgery Clinic of XXX. Standard tourniquet pressure (STP) or limb occlusion pressure (LOP) was applied as PT cuff pressure. Cotton pads or elastic stockinette was used for PPM under the cuff. Patients were categorized into four groups; (i) STP with a cotton pad; (ii) STP with an elastic stockinette; (iii) LOP with a cotton pad; and (iv) LOP with an elastic stockinette. Total of 200 patients were included in the study, with 50 patients in each group. Skin complications were evaluated postoperatively at 0, 30, and 180 min.

Conditions

• Skin Wound
• Complication of Surgical Procedure

Interventions

OTHER

Standard tourniquet pressure (250 mmHg)

The effectiveness of the protective padding material placed on the skin with a pneumatic tourniquet cuff and the pneumatic tourniquet pressure determination methods were compared.

OTHER

Limb occlusion pressure

The effectiveness of the protective padding material placed on the skin with a pneumatic tourniquet cuff and the pneumatic tourniquet pressure determination methods were compared.

OTHER

Cotton Pad

The effectiveness of the protective padding material placed on the skin with a pneumatic tourniquet cuff and the pneumatic tourniquet pressure determination methods were compared.

OTHER

Elastic stockinette

The effectiveness of the protective padding material placed on the skin with a pneumatic tourniquet cuff and the pneumatic tourniquet pressure determination methods were compared.

Sponsors & Collaborators

• Bursa City Hospital

  lead OTHER_GOV

Principal Investigators

• Sevgi Vermisli Ciftci, Ph.D. · Republic of Turkey Ministry of Health Bursa City Hospital/Operating Room

• Zeki Gunsoy, M.D. · Republic of Turkey Ministry of Health Bursa City Hospital/Hand Surgery Clinic

• Fatma Demir Korkmaz, Professor · Ege University/ Faculty of Nursing

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-10-14

Primary Completion

2023-07-30

Completion

2023-09-29

Countries

• Turkey (Türkiye)

Study Locations