About TLai

This author has not yet filled in any details.
So far TLai has created 30 blog entries.

Are There Any Guidelines on Best Practices for Hospital Admission of a Patient with a Pre-Applied Tourniquet?

How should a patient be assessed and managed if a tourniquet has been applied to establish hemostasis prior to admission? What is the best practice? Do guidelines exist? The use of tourniquets in pre-hospital settings is increasing to prevent life-threatening blood loss, based on fundamental changes in doctrine regarding early use of tourniquets [1], and [...]

2018-09-04T11:08:49+00:00

How Can Personalized Blood Flow Restriction Be Used Safely and Effectively to Accelerate Rehabilitation After Surgery?

Two significant peer-reviewed articles on Personalized Blood Flow Restriction (PBFR) were published this month in the Journal of Arthroscopic and Related Surgery. The Journal of Arthroscopic and Related Surgery is the official journal of the Arthroscopy Association of North America (AANA), and is read by many orthopaedic surgeons. The contributing authors are two well-respected and [...]

Untangling Misconceptions about Narrow Cuffs and Safety

It has been well established in medical literature that the probability of tourniquet-related injuries increases as tourniquet pressure increases, and as the pressure gradient near the edges of tourniquet cuffs increase, e.g. [1-7]. Unnecessarily high tourniquet pressure gradients represent a serious and recognized hazard associated with unnecessarily high probabilities of patient injuries, specifically nerve injuries. [...]

2018-03-16T22:12:24+00:00

Blog

September 4th, 2018: Are There Any Guidelines on Best Practices for Hospital Admission of a Patient with a Pre-Applied Tourniquet? August 28th, 2018: How Can Personalized Blood Flow Restriction Be Used Safely and Effectively to Accelerate Rehabilitation After Surgery? March 16th, 2018: Untangling Misconceptions about Narrow Cuffs and Safety February 2nd, 2018: Clarification on Pneumatic [...]

2018-09-04T12:22:47+00:00

Clarifications on Pneumatic Tourniquet Use

In the recent AORN Journal article, “Back to Basics: Pneumatic Tourniquet Use” (September 2017, Vol 106, No 3), the author provided a concise summary on pneumatic tourniquets that could be used as an introduction and guideline on tourniquet safety and use. Overall, the article is very well written and provides useful information for perioperative readers. [...]

2018-02-05T11:46:18+00:00

Introduction

This page introduces the tourniquet, and provides a brief history on tourniquet technology: from primitive designs used during the time of the Roman Empire to modern, state-of-the-art tourniquet systems. Here you will learn about the best tourniquet systems, based on personalization, which provide individualized, safe and effective care for the patient. The Best Tourniquet Systems [...]

What are Internal Tourniquets?

A recent US patent for an ‘internal tourniquet for surgery’ [1] described innovation that opens the door to extending tourniquet-related concepts to surgical procedures not previously amenable to conventional tourniquets, especially procedures near truncal-extremity junctions, including hip and shoulder regions, and in the deep abdomen. Synergies exist by integrating this internal tourniquet innovation with related [...]

Tourniquets for Treating Open Fractures and Traumatic Injuries: Contraindicated or Not?

Overview: A current overview of the use of tourniquets in surgery and traumatic injury is provided elsewhere [1]. Open fractures: The use of a tourniquet is contraindicated in the surgical treatment of open limb injuries because it is necessary to make an assessment of the devascularized zone of injury for the purpose of wound management [...]

Surgical Tourniquet Instrument Technology

What is the purpose of a surgical tourniquet instrument? The purpose of a surgical tourniquet instrument is to safely and accurately supply and regulate the pressure in a tourniquet cuff. Personalized surgical tourniquet instruments: Personalized tourniquet instruments are state-of-the-art, modern pneumatic tourniquet instruments. Click here to learn about the history of tourniquets. They include automatic [...]

Tourniquet Safety: Mechanisms and Prevention of Injuries

To improve tourniquet safety for patients, it is important to know the mechanisms and prevention of tourniquet injuries. Surgical Tourniquet Safety It is reliably estimated that pneumatic tourniquets are used in more than one million surgical procedures annually in North America. The potential for injury is significant, although the use of lower, personalized tourniquet pressure [...]