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February 1972

Tourniquet Time in Hand Surgery

Author Affiliations

Iowa City
From the Department of Orthopedic Surgery, University of Iowa Hospitals, Iowa City.

Arch Surg. 1972;104(2):190-192. doi:10.1001/archsurg.1972.04180020070013

One thousand five hundred consecutive hand operations were performed in a bloodless field with the use of a pneumatic cuff tourniquet. An arbitrary time limit of two hours' tourniquet application was selected and 95% of the operations were completed within this time limit. The oldest patient was 94 years old and the youngest was 8 weeks old. The ages of the 60 patients whose tourniquet time exceeded two hours varied from 64 to 1 year; none showed any postoperative complications. Two tourniquet paralyses were traced to excessive pneumatic pressure caused by faulty mechanical equipment.