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Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease

Year 1997, Volume: 10 Issue: 2, 91 - 99, 01.03.1997

U. Erol B. Ay D. Doğu

Abstract

Objective: The aim of this study is to investigate the metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities.

Methods: Ten of the 20 patients had coronary artery disease and the remaining 10 patients without coronary artery disease were regarded as controls. The anesthesia was the same for both groups.

Hemodynamic (SAP, DAP, MAP, HR, CVP), metabolic (K, CPK, CPK-MB, SGOT, LDH1, WBC), ETC02, Sp02, body temperature, blood gas value and ECG changes were recorded.

Results: SAP, DAP and MAP significantly decreased in the patients with coronary artery disease after removal of the tourniquet when compared to the measurements obtained during the application (p<0.05). HR was not found to be significantly changed in the patients with coronary artery disease (p>0.05). In the control group, HR decreased during the application and significantly increased after removal of the tourniquet (p<0.05).

A decrease in pH value and an increase in PC02 and ETC02 values were observed in both groups immediately and ten minutes after the removal of the tourniquet (p<0.05). K, CPK, LDH1, SGOT, WBC were not found to be significantly changed in both groups (p>0.05). CPK-MB increased in both groups (p<0.05).

Conclusion: Data obtained revealed that tourniquet application may cause hemodynamic and metabolic changes and monitorization is necessary particularly in the patients with coronary artery disease.

Keywords

Tourniquet Coronary artery disease Blood gas values ECG

References

  • Lee TL, Tweed WA, Singh B. Oxygen consumption and carbon dioxide elimination after release of unilateral lower limb pneumatic tourniquets. Anesth Analg 1992:75:115-1 I 7.

Year 1997, Volume: 10 Issue: 2, 91 - 99, 01.03.1997

U. Erol B. Ay D. Doğu

Abstract

References

  • Lee TL, Tweed WA, Singh B. Oxygen consumption and carbon dioxide elimination after release of unilateral lower limb pneumatic tourniquets. Anesth Analg 1992:75:115-1 I 7.
There are 1 citations in total.

Details

Subjects Clinical Sciences
Journal Section Review Makaleler
Authors

U. Erol This is me

B. Ay This is me

D. Doğu This is me

Publication Date March 1, 1997
Published in Issue Year 1997 Volume: 10 Issue: 2

Cite

APA Erol, U., Ay, B., & Doğu, D. (1997). Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease. Marmara Medical Journal, 10(2), 91-99.
AMA Erol U, Ay B, Doğu D. Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease. Marmara Med J. March 1997;10(2):91-99.
Chicago Erol, U., B. Ay, and D. Doğu. “Metabolic and Hemodynamic Effects of Unilateral Tourniquet Application on Lower Extremities of the Patients With Coronary Artery Disease”. Marmara Medical Journal 10, no. 2 (March 1997): 91-99.
EndNote Erol U, Ay B, Doğu D (March 1, 1997) Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease. Marmara Medical Journal 10 2 91–99.
IEEE U. Erol, B. Ay, and D. Doğu, “Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease”, Marmara Med J, vol. 10, no. 2, pp. 91–99, 1997.
ISNAD Erol, U. et al. “Metabolic and Hemodynamic Effects of Unilateral Tourniquet Application on Lower Extremities of the Patients With Coronary Artery Disease”. Marmara Medical Journal 10/2 (March 1997), 91-99.
JAMA Erol U, Ay B, Doğu D. Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease. Marmara Med J. 1997;10:91–99.
MLA Erol, U. et al. “Metabolic and Hemodynamic Effects of Unilateral Tourniquet Application on Lower Extremities of the Patients With Coronary Artery Disease”. Marmara Medical Journal, vol. 10, no. 2, 1997, pp. 91-99.
Vancouver Erol U, Ay B, Doğu D. Metabolic and hemodynamic effects of unilateral tourniquet application on lower extremities of the patients with coronary artery disease. Marmara Med J. 1997;10(2):91-9.