Effect of cuff pressure and protective padding material selection on the prevention of skin complications associated with pneumatic tourniquet application in upper extremity surgery: A randomized controlled clinical trial
Makaleler > Tam Makale · 2025
Yazarlar: Sevgi Vermisli Ciftci, Zeki Gunsoy, Fatma DEMİR KORKMAZ
Journal of Tissue Viability, Uluslararası, Wos, 2025, cilt 34, ss 100931-100931
DOI: 10.1016/j.jtv.2025.100931
Özet
PURPOSE: This study investigated the effect of cuff pressure and the selection of protective padding material (PPM) on the prevention of skin complications associated with pneumatic tourniquet (PT) application in upper extremity surgery. METHODS: This randomized controlled trial was conducted between October 2022 and September 2023 at the Hand Surgery Clinic of Bursa City Hospital. Standard tourniquet pressure (STP) or limb occlusion pressure (LOP) was applied as PT cuff pressure. Cotton pad (CP) or elastic stockinette (ES) was used for PPM under the cuff. Patients were categorized into four groups; (i) STP with a CP; (ii) STP with an ES; (iii) LOP with a CP; and (iv) LOP with an ES. Total of 200 patients were included in the study, with 50 patients in each group. Skin complications were evaluated postoperatively at 0, 30, and 180 min. RESULTS: Four different skin complications were observed: redness, tourniquet scar, petechiae, and bullae. Redness was higher at 0 min in the group with STP using a CP and at 30 min in the group with LOP using an ES. Tourniquet scar was less in the LOP using an ES at 0 and 30 min. Petechiae was more in the STP group with the CP than in the LOP group at 180 min. Bullae were more in the group with STP using a CP at 0, 30, and 180 min. CONCLUSION: LOP for the purposes of cuff pressure and the use of an ES as a PPM are recommended to reduce skin complications associated with PT application. THE CTRN: 2022-12/5(ClinicalTrials.gov).