Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients
To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA). The patients were randomly divided into a with-tourniquet group (19 pat...
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| Published in: | Archives of orthopaedic and trauma surgery Vol. 122; no. 8; pp. 442 - 446 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Springer
01-11-2002
Springer Nature B.V |
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| Abstract | To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA).
The patients were randomly divided into a with-tourniquet group (19 patients) and a without-tourniquet group (18 patients). In the first group, snowstorm-like echogenic particles were observed after deflation of the tourniquet in all patients according to the transesophageal echocardiography.
In addition, the PaO(2) level was significantly decreased. Also, one had a PE, and DVT was confirmed in two patients. In the without-tourniquet group, none of these conditions was noted.
These results suggest that the use of a tourniquet will promote the risk of developing postoperative PE and/or DVT after total knee arthroplasty. |
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| AbstractList | INTRODUCTIONTo investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA).PATIENTS AND METHODSThe patients were randomly divided into a with-tourniquet group (19 patients) and a without-tourniquet group (18 patients). In the first group, snowstorm-like echogenic particles were observed after deflation of the tourniquet in all patients according to the transesophageal echocardiography.RESULTSIn addition, the PaO(2) level was significantly decreased. Also, one had a PE, and DVT was confirmed in two patients. In the without-tourniquet group, none of these conditions was noted.CONCLUSIONThese results suggest that the use of a tourniquet will promote the risk of developing postoperative PE and/or DVT after total knee arthroplasty. AbstractIntroduction. To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA).Patients and methods. The patients were randomly divided into a with-tourniquet group (19 patients) and a without-tourniquet group (18 patients). In the first group, snowstorm-like echogenic particles were observed after deflation of the tourniquet in all patients according to the transesophageal echocardiography.Results. In addition, the PaO2 level was significantly decreased. Also, one had a PE, and DVT was confirmed in two patients. In the without-tourniquet group, none of these conditions was noted.Conclusion. These results suggest that the use of a tourniquet will promote the risk of developing postoperative PE and/or DVT after total knee arthroplasty. To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA). The patients were randomly divided into a with-tourniquet group (19 patients) and a without-tourniquet group (18 patients). In the first group, snowstorm-like echogenic particles were observed after deflation of the tourniquet in all patients according to the transesophageal echocardiography. In addition, the PaO(2) level was significantly decreased. Also, one had a PE, and DVT was confirmed in two patients. In the without-tourniquet group, none of these conditions was noted. These results suggest that the use of a tourniquet will promote the risk of developing postoperative PE and/or DVT after total knee arthroplasty. |
| Author | YOSHINO, Shinichi KATO, Nobuya WAUKE, Koichi NAGASHIMA, Masakazu OGAWA, Ryo |
| Author_xml | – sequence: 1 givenname: Koichi surname: WAUKE fullname: WAUKE, Koichi organization: Department of Joint Disease and Rheumatism, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan – sequence: 2 givenname: Masakazu surname: NAGASHIMA fullname: NAGASHIMA, Masakazu organization: Department of Joint Disease and Rheumatism, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan – sequence: 3 givenname: Nobuya surname: KATO fullname: KATO, Nobuya organization: Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan – sequence: 4 givenname: Ryo surname: OGAWA fullname: OGAWA, Ryo organization: Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan – sequence: 5 givenname: Shinichi surname: YOSHINO fullname: YOSHINO, Shinichi organization: Department of Joint Disease and Rheumatism, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan |
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| Keywords | Knee Prosthesis Diseases of the osteoarticular system Cardiovascular disease Autoimmune disease Inflammatory joint disease Venous disease Vascular disease Complication Thromboembolism Technical equipment Tourniquet Human Postoperative Immunopathology Total knee arthroplasty Respiratory disease Deep vein thrombosis Pulmonary embolism Chronic Orthopedic surgery Treatment Rheumatoid arthritis Total Technique Comparative study |
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| Snippet | To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients... AbstractIntroduction. To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet... INTRODUCTIONTo investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in... |
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| SubjectTerms | Arthritis, Rheumatoid - surgery Arthroplasty, Replacement, Knee - methods Biological and medical sciences Blood Loss, Surgical Female Humans Joint surgery Medical sciences Orthopedic surgery Postoperative Complications - etiology Pulmonary embolisms Rheumatoid arthritis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Thromboembolism - etiology Tourniquets - adverse effects Venous Thrombosis - etiology |
| Title | Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients |
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