Klenerman's 1962 narrative review traces the tourniquet from Roman amputation bands to Harvey Cushing's 1904 pneumatic cuff, synthesizing historical development, practical application guidelines, and known complications to establish a framework for safe intraoperative tourniquet use.
When applying a tourniquet, inflate to 250–300 mmHg, set a timer, and plan for release before 2 hours — and if you ever encounter a forgotten post-op tourniquet, the 6-hour mark is the line between attempted salvage and inevitable amputation.
Klenerman's 1962 narrative review traces the tourniquet from Roman amputation bands to Harvey Cushing's 1904 pneumatic cuff, synthesizing historical development, practical application guidelines, and known complications to establish a framework for safe intraoperative tourniquet use.
When applying a tourniquet, inflate to 250–300 mmHg, set a timer, and plan for release before 2 hours — and if you ever encounter a forgotten post-op tourniquet, the 6-hour mark is the line between attempted salvage and inevitable amputation.