Military and Pre-Hospital Tourniquets

There are two types of tourniquets used in military and pre-hospital settings: Pneumatic tourniquets, Non-pneumatic (non-inflatable) tourniquets While both types of tourniquets can be used to stop bleeding in military and pre-hospital settings to save a life, pneumatic tourniquets provide greater safety to the limb because they can occlude arterial blood flow at lower pressures, [...]

Maintenance, Cleaning, and Reprocessing

Tourniquet instruments, tourniquet cuffs, tubings and connectors should be inspected and maintained after every use in order to maintain good tourniquet safety, performance and reliability. Accordingly, the 2015 Recommended Practices for the Use of the Pneumatic Tourniquet in the Perioperative Practice Settings (RPs) of the (US) Association of periOperative Nurses (AORN) recommend that the pneumatic [...]

Limb Occlusion Pressure (LOP)

What is Tourniquet “Limb Occlusion Pressure” (LOP)? Many studies and reviews published in the clinical literature have shown that higher tourniquet pressures and higher pressure gradients are associated with higher risks of tourniquet-related injuries, e.g. [1-7].  Studies have also shown that lower tourniquet pressures are associated with lower complications and pain, e.g. [8-9].  Therefore, when [...]

Intravenous Regional Anesthesia (IVRA)

What is Intravenous Regional Anesthesia? Intravenous regional anesthesia is a tourniquet-related alternative to general anesthesia for limb surgeries. It is inexpensive and widely used for both adults and pediatric patients, with the frequency varying by the type of surgery and practice patterns [1]. In IVRA, a dual-bladder cuff or two single-bladder cuffs are applied proximal [...]

FDA Requirements for Pneumatic Tourniquets in the United States

What are pneumatic tourniquets? A pneumatic tourniquet is a medical device consisting of a pressure-regulating unit which can be operated manually or automatically, connecting tubing, and an inflatable cuff. Pneumatic tourniquets are intended to reduce or totally occlude circulation to a patient's limb to enable a licensed healthcare practitioner to perform a therapeutic function. Note [...]

Equipment Preparation

For the best patient outcome, it is important that all equipment is assembled, calibrated, and tested prior to its use. The following sections highlights some key considerations during equipment assembling, calibration and testing. Assembling equipment and supplies Efficiency in the operating room demands that all of the necessary equipment and supplies be assembled before the [...]

10 Best Practices for Surgical Tourniquets (2017)

Further reading:Preoperative patient assessment2015 AORN guideline Further reading:Tourniquet cuff technologyTourniquet cuff selectionFDA requirements for pneumatic tourniquets in the United States Further reading:Tourniquet cuff technologyMaintenance, cleaning, and reprocessing Further reading:Tourniquet cuff technologyMaintenance, cleaning, and reprocessing Further reading:Tourniquet cuff technologyTourniquet cuff application Further reading:Tourniquet cuff technology Further reading:Limb Occlusion Pressure (LOP)Tourniquet instrument technology Further reading:Safety considerations during [...]