Sterile elastic exsanguination tourniquets (HemaClear; OHK Medical Devices, Haifa, Israel) are relatively new on the market but are widely used because of the ease and speed of their application. The sterile elastic exsanguination tourniquet consists of a @entity6619 ring wrapped in a stockinet sleeve with pull straps. The physician places the ring on the @entity1 's fingers or toes and then pulls the straps proximally. The @entity6619 ring rolls up the limb, and the stockinet sleeve unrolls onto the limb. During proximal rolling, the device displaces blood out of the limb (exsanguination). When the elastic ring reaches the preferred occlusion location, the pulling motion is stopped. The ring exerts suprasystolic pressure on the limb, thereby blocking arterial blood flow into the limb and thus acts as a tourniquet. HemaClear tourniquets are thin and sterile and therefore provide a large operative field. The authors report 2 cases of @entity1151 after HemaClear tourniquet application in @entity1 with @entity130 ( @entity174 and tibial plateau). Exsanguination applies mechanical stress that might dislodge a preexisting @entity1150 , leading to the serious complication of @entity1151 . The authors want to increase awareness of this possible fatal complication during procedures performed on the lower limbs, when the HemaClear tourniquet is used for exsanguination of the affected limb. Careful consideration should be given to the use of HemaClear tourniquets in high-risk @entity1 and those with @entity130 , especially when there has been a delay in surgery. [Orthopedics. 2015; 38(12):e1160-e1163.].

XXXX After Application of a Sterile Elastic Exsanguination Tourniquet.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures of the patella'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['pulmonary embolism'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous thrombosis'] @entity6619 :: ('MESH:D012825', 'Chemical') :: ['silicon'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic injuries']
@entity1151 :: (MESH:D011655,Disease) :: ['Pulmonary Embolism']
