title: Clinical experience in forearm tourniquet use.
abstract: OBJECTIVE
  To assess the efficacy and complications of forearm tourniquet application in minor hand and wrist surgeries those use local anesthesia.
  
  
  METHODS
  A series of ninety-three patients underwent various kinds of hand and wrist surgery using forearm tourniquet performed by senior author (SN) at Thammasat University hospital in the last 5 years was collected. The tourniquet was applied at proximal forearm with 250 mm Hg pressure. The surgical tourniquet time tolerated by the patients, postoperative complications, and effectiveness for the surgeon to perform the surgery were collected and analyzed.
  
  
  RESULTS
  The forearm tourniquet provided bloodless field in all operations. All patients could tolerate forearm tourniquet up to 80 minutes (average 27 minutes). None of the patients had complications related to tourniquet uses after surgery.
  
  
  CONCLUSIONS
  Using forearm tourniquet in minor hand and wrist surgery is effective, helpful, and safe.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, Thammasat University, Pathumthani, Thailand. benz.md@gmail.com
authors.forename: Rattalerk
authors.initials: R
authors.lastname: Arunakul
authors.forename: Sunyarn
authors.initials: S
authors.lastname: Niempoog
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005542:Forearm; D006225:Hand / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013785:Thailand; D013997:Time Factors; D014111:Tourniquets; D055815:Young Adult