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Journal of Hand Surgery (European Volume)
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Articles

Clinical Consequences of Different Exsanguination Methods in Hand Surgery. A Double-blind Randomised Study

L. BLØND
N. VENDEL JENSEN
N. H. SØE NIELSEN

From the Gildhøj Hospital and Hand Section, Department of Orthopaedic Surgery, Gentofte Hospital, Copenhagen, Denmark

Correspondence: Lars Blønd, Falkevej 6, 2670 Greve Strand, Denmark. Tel.: +44884000, 82322. E-mail: lars-blond{at}dadlnet.dk.

A randomised trial was performed in 100 patients in order to evaluate the effectiveness of three commonly used methods of exsanguination (simple elevation, squeeze method and Esmarch bandage) in a clinical setting. The quality and quantity of the exsanguination was evaluated every 5 min by the surgeon and the amount of oozing was observed. Although there was no significant difference between squeezing the arm and Esmarch bandaging, both resulted in significantly better exsanguination than simple elevation. In 22 out of the 100 patients, a small amount of ooze was observed. The oozing was observed significantly more frequently in the patients exsanguinated by simple elevation.

Key Words: exsanguination • tourniquet • ooze • hand surgery • bloodless field

This version was published on August 1, 2008

Journal of Hand Surgery (European Volume), Vol. 33, No. 4, 475-477 (2008)
DOI: 10.1177/1753193408090123
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