Selvan David, Harle Daniel, Fischer Jochen
Department of Orthopaedics, Macclesfield District General Hospital, Macclesfield, United Kingdom.
Acta Orthop Belg. 2011 Feb;77(1):15-7.
Finger tourniquets have been used in finger surgery for a long time to provide a bloodless field while operating on digits. Many different techniques have been described for a 'safe and reliable' finger tourniquet including Penrose drains, coloured rubber gloves and gloves with haemostat. The potential injury that can be caused by leaving the tourniquet in situ for longer than is necessary is devastating to the patient. Although there have been many articles describing a safe tourniquet technique, vigilance needs to be maintained by the operating surgeon to remove the tourniquet. We are presenting a case of retained finger tourniquet to highlight this problem and highlight the rapid response report published by the National Patient Safety Agency in December 2009.
手指止血带在手指手术中已使用很长时间，以便在进行手指手术时提供无血视野。对于“安全可靠”的手指止血带，已经描述了许多不同的技术，包括橡皮引流管、彩色橡胶手套和带有止血钳的手套。止血带留置时间过长可能造成的潜在损伤对患者来说是灾难性的。尽管有许多文章描述了安全的止血带技术，但手术医生仍需保持警惕以移除止血带。我们现报告一例手指止血带留置病例，以突出这一问题，并强调国家患者安全机构于2009年12月发布的快速反应报告。
