Recommended practices for use of the pneumatic tourniquet

AORN Journal,  Feb, 2002  

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GLOSSARY

Adverse reaction: A response that produces a detrimental effect.

Exsanguination: The process of forcible expulsion of blood from an extremity. The state of being deprived of blood.

Pneumatic: Pertaining to gas or air; filled with compressed gas or air.

NOTES

(1.) "Competency statements in perioperative nursing," in Standards, Recommended Practices, and Guidelines (Denver: AORN, Inc, 2001) 19-21.

(2.) ECRI, "Tourniquets, pneumatic," in Healthcare Product Comparison System (Plymouth Meeting, Pa: ECRI, June 1997) 2.

(3.) "Recommended practices for high-level disinfection," in Standards, Recommended Practices, and Guidelines (Denver: AORN, Inc, 2001) 196.

(4.) L K Groah, Perioperative Nursing, third ed (Stamford, Conn: Appleton & Lange, 1996) 304.

(5.) Joint Commission on Accreditation of Healthcare Organizations, "Management of the environment of care (EC)," in Comprehensive Accreditation Manual for Hospitals (Oakbrook Terrace, Ill: Joint Commission on Accreditation of Healthcare Organizations, 2000) EC12.

(6.) Ibid.

(7.) M A Heller, Guide to Medical Device Regulation, vol 2 (Washington, DC: Thompson Publishing Group, 1998) 359; A V Harris, S E Ziel, "Reporting requirements under the Safe Medical Devices Act," AORN Journal 64 (September 1996) 461.

(8.) ECRI, "Tourniquets, pneumatic," 2

(9.) Ibid.

(10.) R S Pauers, M A Carocci, "Low pressure pneumatic tourniquets: Effectiveness at minimum recommended inflation pressures," The Journal of Foot and Ankle Surgery 33 no 6 (1994) 605; J P Estebe et al, "Tourniquet pain in a volunteer study: Effect of changes in cuff width and pressure," Anaesthesia 55 (January 2000) 21.

(11.) Groah, Perioperative Nursing, third ed, 303.

(12.) Zimmer, Tourniquet Safety (Warsaw, Ind: Zimmer, Inc, 1997) 8; Pauers, Carocci, "Low pressure pneumatic tourniquets: Effectiveness at minimum recommended inflation pressures," 605.

(13.) Ibid.

(14.) K A Krackow, "A maneuver for improved positioning of a tourniquet in the obese patient," Clinical Orthopedics and Related Research 168 (August 1982) 80.

(15.) N H Fortunato, Berry & Kohn's Operating Room Technique, ninth ed (St Louis: Mosby, Inc, 2000) 528.

(16.) N S Lichtenfeld, "The pneumatic ankle tourniquet with ankle block anesthesia for foot surgery," Foot and Ankle 13 (July/August 1992) 344-349.

(17.) Groah, Perioperative Nursing, third ed, 304.

(18.) R Waldo, A Kamino, M L Phippen, "Providing instruments, equipment, and supplies," in Patient Care During Operative and Invasive Procedures, ed M L Phippen, M P Wells (Philadelphia: W B Saunders, Co, 2000) 102.

(19.) Y Ogino et al, "Cerebral infarction after deflation of a pneumatic tourniquet during total knee replacement, "Anesthesiology 90 (January 1999) 297; Groah, Perioperative Nursing, third ed, 304.

(20.) Zimmer, Tourniquet Safety, 15; Groah, Perioperative Nursing, third ed, 304.

(21.) Groah, Perioperative Nursing, third ed, 304.

(22.) Ibid.

(23.) A J Hodgson, "A proposed etiology for tourniquet-induced neuropathies," Journal of Biomedical Engineering 116 (May 1994) 224.