Please note: In any event, the values of pressure and model selection in the Model Selection Guide are to be used as reference.
Markeas N, et al., EEXOT, Volume 61, (3):153-158, 2010.
Background: This prospective study was designed to highlight the pros and cons of the application of sterile tourniquet in children with congenital deformities, benign tumors or fractures of upper and lower limbs. Material and Methods: From October 2007 to April 2008 this device was used in 40 children (23 boys and 17 girls), with an average of 5.6 years old (range from 6 months to 14 years), who were treated surgically in our Department. Twenty three operations affected the upper, and 23 the lower limbs. The effectiveness of this type of tourniquet was evaluated according to specific criteria and was compared to that of pneumatic tourniquet, not only during the operation, but also
post-operatively. Results: There was no failure of application or cutaneous complications after its removal and no complaints from the young patients at all as well. Conclusions: Sterile tourniquet seems to advantage due to its ease of application, shortening of operative exsanguination time, success in retaining a sterile field and easy replacement in operations lasting over ninety minutes. Moreover, no skin plicas or necrosis can be found after its removal and the surgeon needs no help
by the nurse to put it in place. Issues of concern are its operatively stable pressure (inability to up-or-down regulate), the contraindications of use in operations lasting more than ninety minutes and its insufficiency in unstable fractures or dislocations.