Embolia pulmonar tras la aplicación de un torniquete estéril elástico para exanguinación .

Pulmonary Embolism After Application of a Sterile Elastic Exsanguination Tourniquet.

Fuente
Este artículo es originalmente publicado en:

http://www.ncbi.nlm.nih.gov/pubmed/26652340

http://www.healio.com/orthopedics/journals/ortho/2015-12-38-12/%7Bd2bc39ce-a4d6-4e0a-918f-190566111bff%7D/pulmonary-embolism-after-application-of-a-sterile-elastic-exsanguination-tourniquet
De:

Feldman V, Biadsi A, Slavin O, Kish B, Tauber I, Nyska M, Brin YS.

Orthopedics. 2015 Dec 1;38(12):e1160-3. doi: 10.3928/01477447-20151123-08.
Todos los derechos reservados para:

Copyright 2015, SLACK Incorporated.

Orthopedics. 2015 Dec 1;38(12):e1160-3. doi: 10.3928/01477447-20151123-08.

Abstract

Sterile elastic exsanguination tourniquets (HemaClear; OHK Medical Devices, Haifa, Israel) are relatively new on the market but are widely used because of the ease and speed of their application. The sterile elastic exsanguination tourniquet consists of a silicon ring wrapped in a stockinet sleeve with pull straps. The physician places the ring on the patient’s fingers or toes and then pulls the straps proximally. The silicon ring rolls up the limb, and the stockinet sleeve unrolls onto the limb. During proximal rolling, the device displaces blood out of the limb (exsanguination). When the elastic ring reaches the preferred occlusion location, the pulling motion is stopped. The ring exerts suprasystolic pressure on the limb, thereby blocking arterial blood flow into the limb and thus acts as a tourniquet. HemaClear tourniquets are thin and sterile and therefore provide a large operative field. The authors report 2 cases of pulmonary embolism after HemaClear tourniquet application in patients with traumatic injuries (fractures of the patella and tibial plateau). Exsanguination applies mechanical stress that might dislodge a preexisting deep venous thrombosis, leading to the serious complication of pulmonary embolism. The authors want to increase awareness of this possible fatal complication during procedures performed on the lower limbs, when the HemaClear tourniquet is used for exsanguination of the affected limb. Careful consideration should be given to the use of HemaClear tourniquets in high-risk patients and those with traumatic injuries, especially when there has been a delay in surgery. [Orthopedics. 2015; 38(12):e1160-e1163.].

La exsanguination aplica tensión mecánica que podría desalojar a una trombosis venosa profunda preexistentes, que conduce a la complicación grave de la embolia pulmonar. Los autores quieren aumentar el conocimiento de esta posible complicación grave durante procedimientos realizados en los miembros inferiores, cuando se utiliza el torniquete HemaClear por desangramiento de la extremidad afectada. La consideración cuidadosa se debe dar al uso de torniquetes HemaClear en pacientes de alto riesgo y aquellos con lesiones traumáticas, sobre todo cuando se ha producido un retraso en la cirugía.

Copyright 2015, SLACK Incorporated.

PMID:26652340 [PubMed – in process]

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