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To the Editor:—
I am concerned about the article by Ginsberg et al (JAMA200:180, 1967) emphasizing the risks inherent in the application of inflatable splints. These authors, however, employed a plastic boot, not an open-end splint. Their conclusions were based on theory and on the results of an indirect method of recording blood flow in five normal persons. There were no confirmatory laboratory studies. They overlooked the following articles demonstrating the usefulness and safety of circumferential pneumatic compression: JAMA162:274, 1956; JAMA167:985, 1958; Cleveland Clin Quart32:1, 1965; JAMA196:491, 1966; and Surg Gynec Obstet123:792, 1966.When in 1952 I first began to apply the pneumatic splint, I also thought it would be dangerous to employ pressures in excess of capillary pressure. However, subsequent angiographic studies on the forelimb of the dog showed that some blood flow was maintained even when
Gardner WJ. Inflatable Splints and Pneumatic Plastic Boots. JAMA. 1967;201(8):643. doi:10.1001/jama.1967.03130080085037
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