Tourniquet Use Improves Intraoperative Parameters, Leading to Similar Postoperative Outcomes Compared With No Tourniquet Use in Anterior Cruciate Ligament Reconstruction: A Prospective, Double-Blind, Randomized Clinical Trial

医学 止血带 麻醉 生理盐水 外科 前交叉韧带 前交叉韧带重建术 前瞻性队列研究 利多卡因 随机对照试验
作者
Hamood H. G. Zaid,Xu Hua,Bingyi Chen,Quanyuan Yang,Guo Yang,Weinan Cheng
出处
期刊:Arthroscopy [Elsevier]
卷期号:39 (3): 626-637.e3 被引量:3
标识
DOI:10.1016/j.arthro.2022.10.033
摘要

To examine the effect of tourniquet use in arthroscopic anterior cruciate ligament reconstruction in terms of: (1) intraoperative visualization with operative time and consumption of sterile saline, and (2) intra- and postoperative blood loss, postoperative pain, opioid consumption, swelling, serum creatine phosphokinase (CPK) and hemoglobin (Hb) concentrations, clinical outcomes, and graft healing.In this prospective randomized clinical trial, patients were assigned to tourniquet inflation (tourniquet-up) or tourniquet deflation (tourniquet-down) groups. Primary outcomes were intraoperative visualization with operative time and sterile saline consumption. Secondary outcomes were intra- and postoperative blood loss, postoperative pain, opioid consumption, swelling, serum CPK, Hb concentration, subjective and objective functional scores, and graft healing.Intraoperative visualization was satisfactory in 100 of 100 cases in the tourniquet-up group and 64 of 100 cases in the tourniquet-down group (P < .05). The mean operative time was 58.4 ± 5.7 minutes in the tourniquet-up group and 72.5 ± 8.6 minutes in the tourniquet-down group (P < .05). The mean sterile saline consumption was 6.4 ± 2.5 L in the tourniquet-up group and 8.7 ± 4.6 L in the tourniquet-down group (P < .05). The respective amounts of estimated intraoperative and postoperative blood loss were 95.3 ± 25.1 mL and 240.3 ± 44.5 mL in the tourniquet-up group and 230.2 ± 22.3 mL and 75.6 ± 15.3 mL in the tourniquet-down group (P < .05). Our results showed no significant difference in postoperative pain, opioid consumption, percentage of patients using opioids, swelling, mean serum CPK and Hb levels, subjective and objective functional scores, or graft healing (P > .05) between the 2 groups.Tourniquet use during anterior cruciate ligament reconstruction significantly improves intraoperative visualization, shortens operative time, and decreases intraoperative sterile saline consumption and blood loss without serious adverse events or greater complication rates based on early postoperative outcomes.Level I, randomized controlled trial.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
图图完成签到,获得积分10
2秒前
2秒前
2秒前
wpz发布了新的文献求助10
5秒前
让我毕业吧给让我毕业吧的求助进行了留言
6秒前
6秒前
zxx完成签到,获得积分10
6秒前
CodeCraft应助Nick Green采纳,获得10
8秒前
小龙完成签到 ,获得积分10
8秒前
张小星发布了新的文献求助10
9秒前
9秒前
无足鸟应助滴滴哒哒采纳,获得10
10秒前
胡图图完成签到,获得积分10
12秒前
大豆11s发布了新的文献求助10
13秒前
13秒前
希望天下0贩的0应助lili采纳,获得10
15秒前
小龙关注了科研通微信公众号
15秒前
大白狐狸完成签到,获得积分10
15秒前
16秒前
我是老大应助sss采纳,获得10
16秒前
张小星完成签到,获得积分20
17秒前
CodeCraft应助大馒头采纳,获得10
18秒前
知犯何逆发布了新的文献求助10
20秒前
21秒前
garrick完成签到,获得积分10
22秒前
22秒前
蛋泥关注了科研通微信公众号
22秒前
英姑应助dandan采纳,获得10
24秒前
24秒前
张张发布了新的文献求助30
26秒前
26秒前
27秒前
27秒前
27秒前
28秒前
28秒前
28秒前
lili发布了新的文献求助10
29秒前
29秒前
30秒前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Pharmacogenomics: Applications to Patient Care, Third Edition 1000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
《粉体与多孔固体材料的吸附原理、方法及应用》(需要中文翻译版,化学工业出版社,陈建,周力,王奋英等译) 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3084626
求助须知:如何正确求助?哪些是违规求助? 2737675
关于积分的说明 7546358
捐赠科研通 2387296
什么是DOI,文献DOI怎么找? 1265911
科研通“疑难数据库(出版商)”最低求助积分说明 613207
版权声明 598409