ReviewBMC biomedical engineering2020
Tourniquet-induced nerve compression injuries are caused by high pressure levels and gradients - a review of the evidence to guide safe surgical, pre-hospital and blood flow restriction usage.
Review in BMC biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06781021 (The Effect of Tranexamic Acid Vs Torniquet on Visual Clarity in Knee Arthroscopic Anterior Cruciate Ligament), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Tranexamic Acid Vs Torniquet on Visual Clarity in Knee Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Beneficial Role of Blood Flow Restriction Exercise in Heart Disease and Heart Failure Using the Muscle Hypothesis of Chronic Heart Failure and a Growing Literature.Frontiers in physiology · 2022Pooled it
- Ultrasound-guided distal peripheral nerve blocks of the ulnar, median, and radial nerves in hand and wrist surgery: a descriptive case series.Perioperative medicine (London, England) · 2026Article
- Blood Flow Restriction Training in Hemodialysis Patients: Clinical Benefits, Challenges, and Future Perspectives.Hemodialysis international. International Symposium on Home Hemodialysis · 2026Review
- Article
- Closing the loop on tourniquet safety in distal radius fracture fixation surgery: a two-cycle quality improvement project.BMJ open quality · 2026Article
- Review
- Review
- Sciatic Nerve Palsy Caused by Tourniquet Use After Pediatric Knee Meniscal Surgery.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Tourniquet-related complications in extremity injuries: a scoping review of the literature.World journal of emergency surgery : WJES · 2025Article
- Perioperative Arthroscopic Tourniquet Usage: Practices and Trends of the AANA Membership Are Varied.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Blood Flow Restriction Use by U.S. Physical Therapists: A Survey on Settings, Equipment, and Adverse Effects.International journal of exercise science · 2025Article
- Development and psychometric evaluation of a pneumatic tourniquet work standards scale.Journal of orthopaedic surgery and research · 2024Article
- A systematic review of tourniquet use in paediatric orthopaedic surgery: can we extrapolate from adult guidelines?EFORT open reviews · 2024Article
- Effect of One Session of Muscle Blood Flow Restriction Training Versus Normal Training on Blood Lactate Level.Progress in rehabilitation medicine · 2024Article
- Nerve Block Extends Nerve Function Recovery in Patients with Diabetic Foot Ulcers.Journal of pain research · 2024Article
- Tourniquet-Related Nerve Injury Following Reconstructive Surgery for Wassel Type IV Preaxial Polydactyly of 13-Year-Old Boy: A Case Report.The American journal of case reports · 2023Article
- Review
- Article
- Optimization of surgical tourniquet usage to improve patient outcomes: Translational cross-disciplinary implications of a surgical practice survey.Frontiers in surgery · 2023Article
- Development and Characterization of a Self-Tightening Tourniquet System.Sensors (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tourniquets in orthopaedic surgery safely provide blood free surgical fields, but their use is not without risk. Tourniquets can result in temporary or permanent injury to underlying nerves, muscles, blood vessels and soft tissues. Advances in safety, accuracy and reliability of surgical tourniquet systems have reduced nerve-related injuries by reducing pressure levels and pressure gradients, but that may have resulted in reduced awareness of potential injury mechanisms. Short-term use of pre-hospital tourniquets is effective in preventing life-threatening blood loss, but a better understanding of the differences between tourniquets designed for pre-hospital vs surgical use will provide a framework around which to develop guidelines for admitting to hospital individuals with pre-applied tourniquets. Recent evidence supports the application of tourniquets for blood flow restriction (BFR) therapy to reduce muscular atrophy, increase muscle strength, and stimulate bone growth. BFR therapy when appropriately prescribed can augment a surgeon's treatment plan, improving patient outcomes and reducing recovery time. Key risks, hazards, and mechanisms of injury for surgical, BFR therapy, and pre-hospital tourniquet use are identified, and a description is given of how advances in personalized tourniquet systems have reduced tourniquet-related injuries in these broader settings, increasing patient safety and how these advances are improving treatment outcomes.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.