International Journal of Nursing Research

Objective To research the personalized tourniquet pressure settings under the ultrasonic techniques on the pediatric patients’ upper limb occlusion pressure. Method 60 cases of pediatric patients were admitted to our hospital to have surgery due to a severe upper extremity injury with the utilization of tourniquet pressure from February 2019 to February 2020. They were randomly divided into experimental group and control group with 30 cases respectively. In the experimental group, personalized tourniquet pressure was determined through the ultrasonic techniques, whereas in the control group, the recommended pressure was used according to the “Theater Nursing Practice Guideline, 2019 version”. The personalized tourniquet pressure value in both groups was compared and the effectiveness of tourniquet was evaluated, any skin injury was documented in both groups. Results There was no significant difference (p >0.05) in the length of tourniquet use, tourniquet pressure and the effectiveness of tourniquet in both pediatric patients’ groups. However, the tourniquet pressure was found to be significantly lower in the experimental group[(118.30±6.98) mmHg] than the control group[(130.93±6.52)mmHg],P＜0.05.The degree of skin injury in the experimental group was less severe compared to the control group (P<0.05).The incident of skin injury was also significantly reduced in the experimental group(16.7%) compared to the control group(46.7%),p＜0.05.ConclusionThe adoption of the personalized tourniquet pressure settings under the ultrasonic techniques on the pediatric patients’ upper limb occlusion pressure could provide a smaller and safer tourniquet pressure value in pediatric upper limb surgery in future clinical settings; and to reduce the incident of the tourniquet complications. This method has a good prospect in clinical application, and it should be recommended for clinical use.

Pediatrics; Upper Limbs; Tourniquet; Pressure; Ultrasound