Tuesday, May 4, 2010

Possible neuropraxia due to improper/too long application of tourniquet

Leprosy Mailing List – January 28th, 2010

Ref.: (LML) Possible neuropraxia due to improper/too long application of tourniquet

From: James P. Wilton, Portsmouth , NH , USA


Dear Salvatore,

I refer to Angelica Piefer’s message (LML Jan. 23rd, 2010).

It is my experience in over 25 years of extremity surgery that neurapraxia is most likely caused from insufficient padding underneath the tourniquet and/or improper placement of the tourniquet. When tourniquet times are limited to 90 minutes or less, I have not experienced neurapraxia as an adverse sequela from extremity surgery.

Sincerely yours,

Dr. James P. Wilton, FACFAS

Peripheral Nerve Surgeon

330 Borthwick Ave #112

Portsmouth , NH , 03801

USA

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