Department of Surgery, Uniosun Teaching Hospital, Osogbo, Osun State, Nigeria.
Department of Traumatic and Orthopaedic Surgery, Ahmadu Bello University, Zaria, Kaduna State, Nigeria.
Niger Postgrad Med J. 2021 Apr-Jun;28(2):133-138. doi: 10.4103/npmj.npmj_472_21.
The modern arterial tourniquet is an automatic tourniquet system which contains many features that help to minimise complications and improve safety. However, the non-pneumatic tourniquet is still in use, a practice that may be commoner in resource-constrained settings. This study was conducted to investigate the types of tourniquet available and used by orthopaedic surgeons in Nigeria as well as the practical aspects and complications of their use of the tourniquet.
At an Annual General Meeting/Scientific Conference of Nigerian Orthopaedic Association, a survey was conducted among orthopaedic surgeons using a pre-tested self-administered questionnaire which contained questions on types of tourniquet, practical aspects of the use of tourniquet and complications.
The non-pneumatic tourniquet was usually used by 60.2% of the respondents and 58.1% of those who had both pneumatic and non-pneumatic tourniquets used the latter more commonly. In most cases, the tourniquet was applied by surgeons or surgical residents on the arm or thigh. Surgeons who had ever used the tourniquet in diabetic patients were 71.6% while 29.5% had used it in patients with sickle cell disease. Tourniquet duration was usually 1½ h and 2 h in the upper and lower limbs, respectively. The two most common complications were tourniquet palsy and tourniquet pain.
The non-pneumatic tourniquet was more commonly used than the pneumatic tourniquet. Application of the tourniquet on sites other than the thigh and the upper arm were uncommon. The most common complication was neurologic injury.
现代动脉止血带是一种自动止血带系统，它包含许多有助于减少并发症和提高安全性的功能。然而，非气动止血带仍在使用中，这种做法在资源有限的环境中可能更为常见。本研究旨在调查尼日利亚骨科医生使用的止血带类型以及他们使用止血带的实际情况和并发症。
在尼日利亚骨科协会的年度大会/科学会议上，对骨科医生进行了一项调查，使用的是预先测试的自我管理问卷，其中包含有关止血带类型、使用止血带的实际方面和并发症的问题。
非气动止血带通常由 60.2%的受访者使用，而使用气动和非气动止血带的受访者中有 58.1%更常使用后者。在大多数情况下，止血带由外科医生或外科住院医师在手臂或大腿上应用。曾在糖尿病患者中使用止血带的外科医生为 71.6%，而在镰状细胞病患者中使用止血带的为 29.5%。止血带的持续时间通常在上肢和下肢分别为 1.5 小时和 2 小时。最常见的两种并发症是止血带麻痹和止血带疼痛。
非气动止血带比气动止血带更常用。在大腿和上臂以外的部位使用止血带并不常见。最常见的并发症是神经损伤。
