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In-vivo analysis of epicutaneous pressure distribution beneath a femoral tourniquet – an observational study

Overview of attention for article published in BMC Musculoskeletal Disorders, January 2015
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Title
In-vivo analysis of epicutaneous pressure distribution beneath a femoral tourniquet – an observational study
Published in
BMC Musculoskeletal Disorders, January 2015
DOI 10.1186/s12891-015-0454-0
Pubmed ID
Authors

Klaus Edgar Roth, Boris Mandryka, Gerrit Steffen Maier, Uwe Maus, Manfred Berres, Jan-Dirk Rompe, Friedrich Bodem

Abstract

BackgroundCompression of the tissue beneath tourniquets used in limb surgery is associated with varying degrees of soft tissue damage. The interaction between fluids and applied pressure seems to play an important role in the appearance of skin lesions. The extent of the transfer of force between the tourniquet and the skin, however, has yet to be studied. The aim of the present study was to quantify in-vivo the transfer of pressure between a tourniquet and the skin of the thigh.MethodsPressure under the tourniquet was measured using sensors in 25 consecutive patients over the course of elective surgical procedures. Linear mixed modeling was used to assess the homogeneity of the distribution of pressure around the circumference of the limb, variation in pressure values over time, and the influence of limb circumference and the Body-Mass-Index (BMI) on pressure transfer.ResultsMean pressure on the skin was significantly lower than the inner pressure of the cuff (5.95%, 20.5¿±¿9.36 mmHg, p¿<¿0.01). There was a discrete, but significant (p¿<¿0.001) increase in pressure within the first twenty minutes after inflation. Sensors located in the area of overlap of the cuff registered significantly higher pressure values (p¿<¿0.01). BMI and leg circumference had no influence on the transfer of pressure to the surface of the skin (p¿=¿0.88 and p¿=¿0.51).ConclusionsPressure transfer around the circumference of the limb was distributed inhomogeneously. The measurement series revealed a global pressure drop compared to the initial pressure of the cuff. No relationship could be demonstrated between the pressure transferred to the skin and the BMI or limb circumference.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 20 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 5%
Unknown 19 95%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 3 15%
Researcher 3 15%
Student > Master 3 15%
Student > Postgraduate 3 15%
Professor > Associate Professor 1 5%
Other 1 5%
Unknown 6 30%
Readers by discipline Count As %
Medicine and Dentistry 4 20%
Nursing and Health Professions 3 15%
Engineering 2 10%
Arts and Humanities 1 5%
Agricultural and Biological Sciences 1 5%
Other 1 5%
Unknown 8 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 February 2015.
All research outputs
#17,741,776
of 22,783,848 outputs
Outputs from BMC Musculoskeletal Disorders
#2,892
of 4,039 outputs
Outputs of similar age
#242,769
of 353,087 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#41
of 56 outputs
Altmetric has tracked 22,783,848 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
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