Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa

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dc.contributor.authorGibson, A St Clair
dc.contributor.authorLambert, M I
dc.contributor.authorMilligan, J
dc.contributor.authorMerwe, W van der
dc.contributor.authorWalters, J
dc.contributor.authorNoakes, T D
dc.date.accessioned2021-10-08T07:17:53Z
dc.date.available2021-10-08T07:17:53Z
dc.date.issued1996
dc.description.abstractOBJECTIVES: To assess views on use, maintenance and side-effects of the pneumatic tourniquet in the South African orthopaedic community. METHODS: A census-type questionnaire study was conducted of all 475 orthopaedic surgeons registered with the Orthopaedic Association of South Africa during 1993/94. The chi-square test was used to determine statistical significance between different groups of respondents. RESULTS: Seventy-seven per cent of the questionnaires were returned. Ninety-nine per cent of respondents used a pneumatic tourniquet. Eighty-four per cent believed that the tourniquet may damage underlying tissue both as a result of applied pressure effects and ischaemic consequences. Fifty-four per cent of respondents personally checked the calibration of the pneumatic tourniquet, although 76% of respondents believe that the apparatus needs to be checked at least once per month. More respondents who did not check the tourniquet apparatus than respondents who did check it believe that applied pressure does not cause tissue damage (P < 0.001), that the operating room technician or hospital engineer should be responsible for checking equipment (P < 0.001), and that equipment did not need to be checked more than once every 6 months (P < 0.001). CONCLUSIONS: Although most orthopaedic surgeons are aware of the pneumatic tourniquet's side-effects, a minority appear to be unaware of the hazards of excessive applied pressure alone or excessive applied pressure caused by use of faulty equipment. It needs to be emphasised to these surgeons that regular checking of the pneumatic tourniquet apparatus is necessary in order to prevent postoperative complications ascribed to use of the tourniquet.
dc.identifier.apacitationGibson, A. S. C., Lambert, M. I., Milligan, J., Merwe, W. v. d., Walters, J., & Noakes, T. D. (1996). Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa. <i>South African Medical Journal</i>, 86(10), 1281 - 1283. http://hdl.handle.net/11427/34849en_ZA
dc.identifier.chicagocitationGibson, A St Clair, M I Lambert, J Milligan, W van der Merwe, J Walters, and T D Noakes "Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa." <i>South African Medical Journal</i> 86, 10. (1996): 1281 - 1283. http://hdl.handle.net/11427/34849en_ZA
dc.identifier.citationGibson, A.S.C., Lambert, M.I., Milligan, J., Merwe, W.v.d., Walters, J. & Noakes, T.D. 1996. Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa. <i>South African Medical Journal.</i> 86(10):1281 - 1283. http://hdl.handle.net/11427/34849en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Gibson, A St Clair AU - Lambert, M I AU - Milligan, J AU - Merwe, W van der AU - Walters, J AU - Noakes, T D AB - OBJECTIVES: To assess views on use, maintenance and side-effects of the pneumatic tourniquet in the South African orthopaedic community. METHODS: A census-type questionnaire study was conducted of all 475 orthopaedic surgeons registered with the Orthopaedic Association of South Africa during 1993/94. The chi-square test was used to determine statistical significance between different groups of respondents. RESULTS: Seventy-seven per cent of the questionnaires were returned. Ninety-nine per cent of respondents used a pneumatic tourniquet. Eighty-four per cent believed that the tourniquet may damage underlying tissue both as a result of applied pressure effects and ischaemic consequences. Fifty-four per cent of respondents personally checked the calibration of the pneumatic tourniquet, although 76% of respondents believe that the apparatus needs to be checked at least once per month. More respondents who did not check the tourniquet apparatus than respondents who did check it believe that applied pressure does not cause tissue damage (P < 0.001), that the operating room technician or hospital engineer should be responsible for checking equipment (P < 0.001), and that equipment did not need to be checked more than once every 6 months (P < 0.001). CONCLUSIONS: Although most orthopaedic surgeons are aware of the pneumatic tourniquet's side-effects, a minority appear to be unaware of the hazards of excessive applied pressure alone or excessive applied pressure caused by use of faulty equipment. It needs to be emphasised to these surgeons that regular checking of the pneumatic tourniquet apparatus is necessary in order to prevent postoperative complications ascribed to use of the tourniquet. DA - 1996 DB - OpenUCT DP - University of Cape Town IS - 10 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 1996 SM - 0038-2469 T1 - Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa TI - Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa UR - http://hdl.handle.net/11427/34849 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34849
dc.identifier.vancouvercitationGibson ASC, Lambert MI, Milligan J, Merwe Wvd, Walters J, Noakes TD. Intra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa. South African Medical Journal. 1996;86(10):1281 - 1283. http://hdl.handle.net/11427/34849.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Physiological Sciences
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue10
dc.source.journalvolume86
dc.source.pagination1281 - 1283
dc.source.urihttps://dx.doi.org/10.7196/sajs.718
dc.subject.otherTourniquet
dc.subject.otherTyre
dc.subject.otherUse
dc.subject.otherInterest
dc.subject.otherComplication
dc.subject.otherIntraoperative
dc.subject.otherOrthopedic surgery
dc.subject.otherQuestionnaire
dc.subject.otherSurgeon
dc.subject.otherHuman
dc.subject.otherSouth Africa
dc.subject.otherAfrica
dc.subject.otherGarrot
dc.subject.otherPneumatique
dc.subject.otherUtilisation
dc.subject.otherIntérêt
dc.subject.otherPeropératoire
dc.subject.otherChirurgie orthopédique
dc.subject.otherChirurgien
dc.subject.otherHomme
dc.subject.otherRépublique Sud Africaine
dc.subject.otherAfrique
dc.subject.otherTorniquete
dc.titleIntra-operative pneumatic tourniquet – perceptions of use and complications in the orthopaedic community of South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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