Surgical Tourniquets in Orthopaedics Reply

Shahryar Noordin
James A. McEwen
John F., Jr. Kragh
andrew Eisen
Bassam A. Masri


Higher levels of tourniquet pressure and higher pressure gradients beneath tourniquet cuffs are associated with a higher risk of nerve-related injury. Measurement of limb occlusion pressure can help to minimize tourniquet pressure levels and pressure gradients for individual Patients and individual surgical procedures. Selective use of pneumatic, wider, and contoured tourniquet cuffs reduces tourniquet pressure levels and the applied pressure gradients.