title: Exsanguination of lower limbs in healthy male subjects.
abstract: Gamma camera technique was used to assess the effectiveness of various exsanguination methods in 12 healthy male volunteers given an autologous injection of 99mTc-labeled erythrocytes. The methods used included elevation alone, Esmarch bandage, gauze bandage, and the Pomidor roll-cuff. The median times spent on use of these methods were: Esmarch 85 sec, gauze 104 sec, and Pomidor roll-cuff 18 sec. The various exsanguination methods caused a median percentage reduction in regional blood volume of the lower limbs: elevation 1/2 minute 45%, 1 minute 45%, 2 minutes 42%, 4 minutes 44%, 6 minutes 43%, 10 minutes 44%, Esmarch bandage 64%, gauze bandage 62%, and Pomidor roll-cuff 61%. No statistically significant differences were found between the elevation procedures. The external methods were more effective than elevation alone (p < 0.001).
authors.affiliation: Department of Orthopedic Surgery, Gentofte Hospital, Copenhagen, Denmark. lars-blond@dadlnet.dk
authors.forename: Lars
authors.initials: L
authors.lastname: Blond
authors.forename: Klaus
authors.initials: K
authors.lastname: Kirketerp-Møller
authors.forename: Stig
authors.initials: S
authors.lastname: Sonne-Holm
authors.forename: Jan L
authors.initials: JL
authors.lastname: Madsen
mesh_terms: D000328:Adult; D001458:Bandages; D003250:Constriction; D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging*; D008297:Male; D010865:Pilot Projects; D011336:Probability; D011877:Radionuclide Imaging; D012016:Reference Values; D012039:Regional Blood Flow; D012680:Sensitivity and Specificity; D013667:Technetium / Q000494:pharmacology; D013997:Time Factors
chemical_list: D013667:Technetium