Thursday, September 6, 2007
The Tourniquet Manual. Principles and Practice
The Tourniquet Manual - principles and practice provides a comprehensive and detailed account of the safe use of the tourniquet by using a physiological approach which ensures good practice. Starting from a historical background the reader learns the detailed effects of ischaemia on the vulnerable tissues, especially muscle and nerve. The effects of releasing the tourniquet on the systemic circulation and the complicated biochemistry of the ischaemia-reperfusion response are explained. Complications and good practice are discussed. There is a chapter on the latest technological advances in tourniquets. This book provides a coherent account of the subject and is an invaluable source of references. It will help avoid medicolegal problems and promote good practice by surgeons, anaesthetists and operation theatre technicians alike and should be in every theatre office.
The use of a tourniquet in orthopaedic surgery is a universal practice that is accepted with little question. Leslie Klenerman has had a life-long interest in the tourniquet and has conducted a considerable amount of research on its use and misuse. He has now written this short account of the history, principles, value and the method of its employment. He has produced a succinct summary of the physiology and application of the tourniquet, drawing attention to the necessity for careful positioning of the device and the problems that may be encountered if the basic principles are ignored. He gives a full account of the complications that may arise with emphasis on the reperfusion syndrome, and outlines the steps to be taken if these are to be avoided.
The historical background.
The effect of the tourniquet on the limb and on the systemic circulation.
The ischaemia-reperfusion syndrome.
The tourniquet used for anaesthesia.
Technology and practice.
Publisher:: Springer, ©2003.
Posted by DrWael at 11:40:00 PM