Exsanguination of the limbs in elderly volunteers.
We have evaluated the efficiency of exsanguination of the limbs in ten volunteers with a median age of 83 (range 76-86) years using Esmarch bandage or simple elevation. Changes in blood volume were evaluated using a scintigraphic technique based on an autologous injection of 99 mTc-labelled erythrocytes. In both upper (P<0.001) and lower (P<0.001) limbs, Esmarch bandage was significantly more effective than elevation. In lower limbs, there was a significant difference in reduction of blood volume between 5 s and 15 s of elevation (P<0.01).
Blond
Lars
L
Department of Orthopedic Surgery, Amager Hospital, Copenhagen Hospital Corporation, Italiensvej 1, 2300 S, Denmark. lars-blond@dadlnet.dk
Madsen
JanL L
JL
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D001811:Blood Volume Determination / Q000379:methods; D004912:Erythrocytes / Q000000981:diagnostic imaging; D005121:Extremities / Q000098:blood supply* / Q000601:surgery*; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011187:Posture; D011877:Radionuclide Imaging / Q000379:methods; D013667:Technetium; D014111:Tourniquets
D013667:Technetium