TABLE 1.
Reasons to Convert or Replace Tourniquets
Limb preservation | Prolonged tourniquet use can lead to ischemia and tissue damage, increasing the risk of limb loss. |
Prevention of compartment syndrome | Prolonged tourniquet application can lead to the development of compartment syndrome, a condition characterized by increased pressure within a muscle compartment, resulting in tissue damage and potential loss of limb function. |
Prevention of reperfusion injury | When a tourniquet is released after prolonged use, reperfusion of the limb can lead to systemic complications such as acidosis, coagulopathy, hypotension, renal failure, and death. |
Avoidance of prolonged pain and discomfort | Prolonged tourniquet application can cause significant pain and discomfort to the casualty and can increase the need for analgesia medications in a limited resource environment. |