The 50 original articles included in this qualitative , systematic review revealed that the recommendations " Tourniquet " of the DGAI published in 2016 are mostly still up to date despite an inhomogeneous study situation .
INTRODUCTION The effectiveness of a  tourniquet  in the case of life-threatening hemorrhages of the extremities is well recognized and led to the recommendations on " Tourniquet " of the German Society of Anaesthesiology and Intensive Care ( DGAI ) in 2016 .
The aim of this systematic review was to re-evaluate the current medical literature in relation to the published DGAI recommendations .
Arm versus forearm tourniquet for carpal tunnel decompression – Which is better? A randomized controlled trial
Tourniquet pain is a common source of complaint for patients undergoing carpal tunnel decompression and practice varies as to the tourniquet position used . There is little evidence to suggest benefit of one position over another . Our aim was to compare patient and surgeon experience of forearm and arm tourniquets . Following a power calculation , 100 patients undergoing open carpal tunnel decompression under local anaesthetic  were r and omized to either an arm or a forearm tourniquet . Measurements of blood pressure , heart rate and pain were taken at 2.5 min intervals . The operating surgeon also provided a visual analogue scale rating for the extent of bloodless field achieved and for any obstruction caused by the tourniquet . There was no statistically significant inter-group difference in patient pain or physiological response , tourniquet time , bloodless field or length of procedure . The degree of obstruction caused by the tourniquet was significantly higher in the forearm group . Level of Evidence : I. Prospect i ve R and omized Controlled
The 50 original articles included in this qualitative , systematic review revealed that the recommendations " Tourniquet " of the DGAI published in 2016 are mostly still up to date despite an inhomogeneous study situation .
INTRODUCTION The effectiveness of a  tourniquet  in the case of life-threatening hemorrhages of the extremities is well recognized and led to the recommendations on " Tourniquet " of the German Society of Anaesthesiology and Intensive Care ( DGAI ) in 2016 .
The aim of this systematic review was to re-evaluate the current medical literature in relation to the published DGAI recommendations .