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 [...]

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 [...]

Tourniquet Cuff Technology

Tourniquet Cuff Technology: What is the purpose of a tourniquet cuff? The purpose of a tourniquet cuff is to safely stop or restrict arterial blood flow into a portion of an extremity by applying a uniform circumferential pressure around the extremity at a desired location. Pneumatic tourniquet cuffs In general, a pneumatic tourniquet cuff is [...]

Tourniquet Cuff Selection

Are you selecting a tourniquet cuff that meets all FDA requirements as a Class I medical device? In the United States, pneumatic tourniquet cuffs are regulated as Class I medical device by the Food and Drug Administration (FDA). Risks of injuries to patients and legal liability for users arise from use of a pneumatic tourniquet [...]

Preoperative Patient Assessment

Patient Assessment The perioperative staff should assess the patient preoperatively for potential contraindications and risks [1]. The final decision on whether or not to use a tourniquet rests with the attending physician. Potential contraindications for tourniquet use Perioperative staff should screen the patient preoperatively for the following potential contraindications [1]: Venous thromboembolism, Impaired circulation or [...]

Personalized Scalp Tourniquets

Alopecia (hair loss) is a common consequence of cancer treatment known to have a profound impact on quality of life.  Tourniquet technologies have been investigated from the mid-1960s to early 1980s as a strategy for preventing chemotherapy-induced alopecia (CIA) but their ambiguous results precluded incorporation into any standard of treatment [1].  Fundamental advances inherent in [...]

Personalized Blood Flow Restriction (BFR) Rehabilitation

Why is it crucial to use personalized restriction pressures in blood flow restriction (BFR) rehabilitation? Problems in current BFR rehabilitation practice Blood Flow Restriction (BFR) applied to a limb during low intensity exercise has been shown to increase muscle size and strength across different age groups.  However, a review of BFR rehabilitation literature shows that inconsistencies [...]

Personalized BFR Rehabilitation for Patients with Possible Prior Nerve Injury

A question was raised recently as to whether it is safe and reasonable to conduct personalized BFR rehabilitation on a patient who may have a prior nerve injury.  After consideration of the evidence-based clinical literature, and in consultation with experts in neurology and orthopedic/arthroscopic surgery, the following information is provided in response: There is no [...]

Pediatric Tourniquets

Pediatric patients need pediatric tourniquets because infants and children have smaller limb circumferences and limb lengths, different mass of muscle and other soft tissues, and different physiological characteristics such as blood pressures and heart rate. These characteristics can vary greatly within the pediatric population from neonatal to adolescent patients. To ensure safe and effective tourniquet [...]

Limb Occlusion Pressure (LOP)

What is Tourniquet “Limb Occlusion Pressure” (LOP)? Limb Occlusion Pressure (LOP) is the minimum pressure required, at a specific time in a specific tourniquet cuff applied to a specific patient’s limb at a specific location, to stop the flow of arterial blood into the limb distal to the cuff. Many studies and reviews published in [...]