The Tourniquet Manual: Principles and Practice provides a concise yet comprehensive review of the tourniquet and its applications in the operating room. In this text, Klenerman reviews the history, application, and pitfalls of tourniquet use. The manual is written for orthopedic surgeons, anesthetists, and operating theater staff, and its 106 pages are a quick and easy read. Although succinct, the book touches on all major issues regarding tourniquet use in the operating room.
The book is divided into 7 chapters, each separated into user-friendly sections with ample illustrations. The first chapter provides a history of the tourniquet and its evolution. The book then quickly transitions into more clinically relevant applications of tourniquet use. Topics covered include reperfusion and ischemia, exsanguinations of the limb, and tourniquet effects on muscles, skin, and nerves. Especially helpful are the sections on tourniquet complications, tourniquet-aided anesthesia, and current aspects of tourniquet technology and practice. The book even goes so far as to suggest twelve “golden rules for safe use of tourniquets.” Toward the end of some chapters there is a brief summary, and each chapter concludes with a thorough list of references relevant to the topics covered.
Tourniquet use in the orthopedic operating room is ubiquitous. However, the principles of safe tourniquet use are not always upheld. The Tourniquet Manual outlines all the critical information necessary for proper tourniquet use in the operating room, and is an excellent resource for orthopedic surgeons, anesthetists, and operating room staff.
© 2004 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.