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LETTER TO EDITOR  
Year : 2013  |  Volume : 47  |  Issue : 1  |  Page : 111
Tourniquets in orthopedic surgery


Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University, Varnasi, Uttar Pradesh, India

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Date of Web Publication4-Feb-2013
 

How to cite this article:
Kumaraswamy V, Singh S, Sharma N, Singh RP. Tourniquets in orthopedic surgery . Indian J Orthop 2013;47:111

How to cite this URL:
Kumaraswamy V, Singh S, Sharma N, Singh RP. Tourniquets in orthopedic surgery . Indian J Orthop [serial online] 2013 [cited 2019 Dec 11];47:111. Available from: http://www.ijoonline.com/text.asp?2013/47/1/111/106939
Sir,

We read with interest the article by Sharma JP and Salhotra R. [1] At the outset, we would like to congratulate the authors, for having picked up such a contemporary and relevant topic to write a review article on. [1]

The notion that a Doppler is a must to determine the tourniquet pressure seems to be a little misplaced. An average orthopedic surgeon, especially the one working in a not so well equipped centre may not have a Doppler machine or a hand-held Doppler at his disposal in the operating room. Is the method described by Bruner [1] and given in Stewart's book of "Traction and orthopaedic appliances" [2] of adding 50 to systolic pressure for upper limb and double the systolic pressure for lower limb, to determine the tourniquet pressure wrong or not be followed? The authors have not been clear on what is the best alternative method to determine tourniquet pressure if a Doppler machine is not available in the operating room. Can a pulse oximeter probe be used to determine the limb occlusion pressure? It would be kind of the authors to shed some light on the issue.

 
   References Top

1.Sharma JP, Salhotra R. Tourniquets in orthopedic surgery. Indian J Orthop 2012;46:377-83.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Stewart JD, Hallet JP. Tourniquets. In traction and orthopaedic appliances. 2 nd ed. New Delhi: BI Churchill Livingstone Pvt Ltd; 1998. p. 273.  Back to cited text no. 2
    

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Correspondence Address:
Vinay Kumaraswamy
Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University, Varnasi, Uttar Pradesh, Gokulam, Mysore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.106939

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1 Authoręs reply
Sharma, J.P. and Salhotra, R.
Indian Journal of Orthopaedics. 2013; 47(1): 111-112
[Pubmed]



 

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