PHYSIOLOGICAL-CHANGES DURING TOURNIQUET USE IN CHILDREN

被引:7
作者
GOODARZI, M
SHIER, NH
OGDEN, JA
机构
[1] Shriners Hospital for Crippled Children, Tampa, FL
关键词
ANESTHESIA; CLUB FOOT SURGERY; PEDIATRIC PATIENT; TOURNIQUET;
D O I
10.1097/01241398-199207000-00018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The hemodynamic and metabolic effects of unilateral tourniquet use were assessed in 30 children. Intraoperative hyperthermia, tachycardia, endtidal CO2, and lactic acid concentration were measured before and after tourniquet inflation. Maximum changes in temperature and pulse rate occurred in patients who had tourniquet application time lasting >75 min. Lactate and endtidal CO2 levels were also significantly increased in the same group of patients.
引用
收藏
页码:510 / 513
页数:4
相关论文
共 13 条
[1]  
Bloch E.C., Hyperthermia resulting from tourniquet application in children, Ann R Coll Surg, 68, (1986)
[2]  
Bradford E., Haemodynamic changes associated with the application of lower limb tourniquets, Anesthesia, 24, pp. 190-197, (1969)
[3]  
Brinker M.R., Lippton H.L., Cook S.D., Hyman A.L., Pharmacological regulation of the circulation of bone, J Bone Joint Surg [Am], 72, pp. 964-975, (1990)
[4]  
Edmond C.B., Hyperthermia resulting from tourniquet application in children, Ann R Coll Surg, 68, pp. 193-194, (1986)
[5]  
Fahmy N.R., Patel O.C., Hemostatic changes and postoperative deep vein thrombosis associated with the use of pneumatic tourniquet, J Bone Joint Surg [Am], 63, pp. 461-465, (1981)
[6]  
Klenerman L., Biswas M., Hulands G.H., Rhodes A.M., Systemic and local effect of tourniquet, J Bone Joint Surg [Br], 62, pp. 385-388, (1980)
[7]  
Love B., Tourniquet and its complications. Proceedings of the Australian and New Zealand Orthopedic Associations, J Bone Joint Surg [Br], 61, (1979)
[8]  
Lynn A.M., Fischer T., Brandord H.G., Pendergrass T.W., Systemic response to tourniquet release in children, Anesth An-Alg, 65, pp. 865-872, (1986)
[9]  
Modig J., Kolstad K., Wigren A., Systemic reactions to tourniquet ischemia, Acta Anesthesiol Scand, 22, pp. 609-614, (1978)
[10]  
Moncorge C.V., Brzustowicz R.M., Koka B.V., Systemic and metabolic response to tourniquet ischemia in children, Anesthesiology, 57, (1982)