THE EFFECT OF POSTOPERATIVE BLEEDING ON COMPARTMENT PRESSURE

被引:1
作者
MARS, M
机构
[1] University of Natal Medical School, Congella
关键词
D O I
10.1016/0266-7681(94)90152-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The effect of post-operative haemorrhage on intra-compartmental pressure has been studied in a primate model. The common practice of closing a wound and applying a compression bandage before deflating the tourniquet is shown to raise intra-compartmental pressure. Subsequent tourniquet release causes a further rise in pressure. Post-operative intra-compartmental pressure remains significantly higher during the first 3 hours of reperfusion in limbs bandaged prior to tourniquet release than in limbs in which the tourniquet is released and haemostasis gained before compression bandaging is applied.
引用
收藏
页码:149 / 153
页数:5
相关论文
共 22 条
  • [1] Bruner, Safety factors in the use of the pneumatic tourniquet for hemostasis for surgery of the hand, Journal of Bone Joint Surgery, 33 A, 1, pp. 221-224, (1951)
  • [2] Dahlin, Danielsen, McLean, Rydevik, Sjostrand, Critical pressure level for impairment of fast axonal transport during experimental compression of rabbit vagus nerve, Journal of Physiology, 325, (1982)
  • [3] Heppenstall, Sapega, Scott, Shenton, Park, Maris, Chance, The compartment syndrome: An experimental and clinical study of muscular energy metabolism using phosphorous nuclear magnetic resonance spectroscopy, Clinical Orthopaedics and Related Research, 226, pp. 138-155, (1988)
  • [4] Klenerman, Crawley, Lowe, Hyperaemia and swelling of a limb upon release of a tourniquet, Acta Orthopaedica Scandinavica, 53, pp. 209-213, (1982)
  • [5] Love, The tourniquet, Australian and New Zealand Journal of Surgery, 48, pp. 66-70, (1978)
  • [6] Lundborg, Gelberman, Minteer-Convery, Lee, Hargens, Median nerve compression in the carpal tunnel: The functional response to experimentally induced controlled pressure, Journal of Hand Surgery, 7, 3, pp. 252-259, (1982)
  • [7] Lundborg, Myers, Powell, Nerve compression injury and increased endoneurial pressure: a “miniature compartment syndrome”, Journal of Neurology, Neurosurgery and Psychiatry, 46, pp. 1119-1124, (1983)
  • [8] Mars, Hands up? A preliminary study on the effect of post-operative hand elevation, Journal of Hand Surgery, 13 B, 4, pp. 430-434, (1988)
  • [9] Mars, Brock-Utne, The effect of tourniquet release on intra-compartmental pressure in the bandaged and unbandaged limb, Journal of Hand Surgery, 16 B, pp. 318-322, (1991)
  • [10] Mars, Gregory, A histometric analysis of skeletal myofibers following 90 min of tourniquet ischemia and reperfusion, Journal of Surgical Research, 50, 2, pp. 191-195, (1991)