Akademik Veri Yönetim Sistemi
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, cilt.27, sa.5, ss.1856-1862, 2023 (SCI-Expanded)
- OBJECTIVE: The aim of this study was to prospectively investigate the ef-fects of elbow position on perioperative and postoperative clinical outcomes during tourni-quet inflation.PATIENTS AND METHODS: The patients were divided into two groups based on their elbow po-sition during tourniquet inflation: patients with elbows extended group E (30 patients), patients with flexed elbows group F (30 patients). Both groups were compared in terms of perioperative bloodless surgical field, tourniquet pain, time to onset of pain, and pain in the tourniquet area on the first postoperative day, plus elbow-forearm range of motion deficit on both the perioperative and postoperative first day.RESULTS: The bloodless surgical field provid-ed by the tourniquet was 0.46 (0-5) in Group E and 0.4 (0-4) in Group F. Perioperative tourniquet pain started in an average of 51 (33-71) minutes in 4 pa-tients in Group E and 49 (31-74) minutes in 5 pa-tients in Group F. Pain was present in 2 patients in both groups in the postoperative tourniquet ar-ea. When the preoperatively measured elbow flex-ion-extension and forearm supination-pronation deficits were compared with the perioperative val-ues, the deficits were 1%, 2%, 1%, 1% in Group E, and 1%, 1%, 2%, 1% in Group F, respectively. When compared with the postoperative values, 1%, 3%, 1%, 1% in Group E and 1%, 2%, 1%, and 1% in Group F were observed, respectively. CONCLUSIONS: There was no statistically significant difference between the two groups, but since repositioning the elbow after the tour-niquet is inflated will cause an additional shear-ing effect on the tissues under the cuff, we rec-ommend inflating the tourniquet in that position in which the operation will be performed in up-per extremity surgeries.