Does Anesthetic Technique Affect Pneumatic Tourniquet Pressures in Upper Limb Fracture Surgery?

NACompletedINTERVENTIONAL
Enrollment

69

Participants

Timeline

Start Date

October 8, 2019

Primary Completion Date

January 9, 2021

Study Completion Date

January 9, 2021

Conditions
Initial Systolic Blood Pressure (mmHg)Arterial Occlusion Pressure (mmHg)Tourniquet Time (Minutes)Quality of Bloodless Surgical Field (4 Point Scale)Initial Tourniquet Pressure (mmHg)Maximal Systolic Blood Pressure (mmHg)Maximal Tourniquet Pressure (mmHg)
Interventions
PROCEDURE

Upper limb fracture surgery and arterial occlusion pressure (AOP) estimation based tourniquet pressure (TP) setting

"Upper limb fracture surgery will be performed with the aid of a pneumatic tourniquet.~The cuff (11 cm) of the tourniquet will be placed around the arm with the distal edge 5 cm above the olecranon. AOP estimation formula according to initial systolic blood pressure (SBP) and Tissue Padding Coefficient (KTP) values (AOP= \[SBP+10\]/KTP) from a list (Table 1) will be used to calculate AOP (17). After calculation of AOP, a safety margin of 20 mmHg will be added to AOP to determine the TP (TP=AOP+20 mm Hg). Exsanguination of the limb will be provided with an Esmarch bandage and the cuff will be inflated to the predetermined TP. TP will be manually raised in response to each 10 mmHg increase in SBP during the surgical procedure."

Trial Locations (1)

Unknown

Baskent University, Ankara

All Listed Sponsors
lead

Baskent University Ankara Hospital

OTHER

NCT04710225 - Does Anesthetic Technique Affect Pneumatic Tourniquet Pressures in Upper Limb Fracture Surgery? | Biotech Hunter | Biotech Hunter