Kumar Kamal, Railton Craig, Tawfic Qutaiba
Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine, Western University, London Health Sciences, Victoria Hospital, London, Ontario, Canada.
J Anaesthesiol Clin Pharmacol. 2016 Oct-Dec;32(4):424-430. doi: 10.4103/0970-9185.168174.
Tourniquets are routinely and safely used in limb surgeries throughout the world. Tourniquet application alters normal physiology. Healthy patients tolerate these physiological changes well, but the physiological changes may not be well-tolerated by patients with poor cardiac function. This review discusses the physiological changes associated with tourniquet use, safe practice and provides the latest updates regarding tourniquet use. A systematic literature search of PubMed, MEDLINE, ScienceDirect, and Google Scholar was done. The search results were limited to the randomized controlled trials and systemic reviews. The papers are summarized in this review.
世界各地在肢体手术中常规且安全地使用止血带。止血带的应用会改变正常生理状态。健康患者能很好地耐受这些生理变化，但心功能不佳的患者可能无法很好地耐受这些生理改变。本综述讨论了与止血带使用相关的生理变化、安全操作，并提供了关于止血带使用的最新进展。对PubMed、MEDLINE、ScienceDirect和谷歌学术进行了系统的文献检索。检索结果限于随机对照试验和系统评价。本文对这些论文进行了总结。
