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The Effect of Tourniquet Release on Intra-Compartmental Pressure in the Bandaged and Unbandaged Limb

From King Edward VIII Hospital, Durban, South Africa

Correspondence: Dr M. Mars, Department of Physiology, University of Natal Medical School, 719 Umbilo Road, Durban, South Africa, 4001.

Changes in intra-compartmental pressure in bandaged and unbandaged limbs following 90 minutes of tourniquet-induced ischaemia and subsequent tourniquet release are examined in a primate model. Bandaging raises intra-compartmental pressure. Release of the tourniquet is shown to cause a transient increase in intra-compartmental pressure of less than 30 minutes duration. This is followed by a fall in intra-compartmental pressure for up to three hours. Tourniquet release and the ensuing hyperaemia does not appear to put the limb at risk of developing a compartment syndrome.

Journal of Hand Surgery (British and European Volume), Vol. 16, No. 3, 318-322 (1991)
DOI: 10.1016/0266-7681(91)90061-R


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