Il dolore da Tourniquet. Note anatomo-fisiopatologiche e considerazioni cliniche.

Translated title of the contribution: Tourniquet pain: anatomic-physiological notes and clinical aspects

F. Ramaioli, D. De-Amici, P. Ceriana

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

OBJECTIVES: The mechanism of tourniquet pain is quite complex. This paper, supported by the previous literature on this topic, tries to explain why the anaesthetic blockade of a limb, even when thechnically successful, not always prevents the occurrence of this pain. DATA SOURCES: Papers published between 1990 and 1995, listed on Index Medicus, with pertinent references. STUDY SELECTION: Reports dealing with physiological basis of tourniquet pain. CONCLUSIONS: Tourniquet pain is nociceptive, generated not only by activation of peripheral nociceptors, but also by direct axonal stimulation of nervous trunks. Is is hardly to tolerated by patients since ischemia and mechanical compression induce an activation of C fibres, resistent to ischemia. A beta fibres are involved as well, due to the activation of low-threshold mechanoceptors.

Original languageItalian
Pages (from-to)265-270
Number of pages6
JournalMinerva Anestesiologica
Volume62
Issue number7-8
Publication statusPublished - Jul 1996

Fingerprint

Tourniquets
Pain
Ischemia
Nociceptive Pain
Unmyelinated Nerve Fibers
Nociceptors
MEDLINE
Anesthetics
Extremities

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Il dolore da Tourniquet. Note anatomo-fisiopatologiche e considerazioni cliniche. / Ramaioli, F.; De-Amici, D.; Ceriana, P.

In: Minerva Anestesiologica, Vol. 62, No. 7-8, 07.1996, p. 265-270.

Research output: Contribution to journalArticle

@article{a4b99b4041334193a046ecd0d77690c6,
title = "Il dolore da Tourniquet. Note anatomo-fisiopatologiche e considerazioni cliniche.",
abstract = "OBJECTIVES: The mechanism of tourniquet pain is quite complex. This paper, supported by the previous literature on this topic, tries to explain why the anaesthetic blockade of a limb, even when thechnically successful, not always prevents the occurrence of this pain. DATA SOURCES: Papers published between 1990 and 1995, listed on Index Medicus, with pertinent references. STUDY SELECTION: Reports dealing with physiological basis of tourniquet pain. CONCLUSIONS: Tourniquet pain is nociceptive, generated not only by activation of peripheral nociceptors, but also by direct axonal stimulation of nervous trunks. Is is hardly to tolerated by patients since ischemia and mechanical compression induce an activation of C fibres, resistent to ischemia. A beta fibres are involved as well, due to the activation of low-threshold mechanoceptors.",
author = "F. Ramaioli and D. De-Amici and P. Ceriana",
year = "1996",
month = "7",
language = "Italian",
volume = "62",
pages = "265--270",
journal = "Minerva Anestesiologica",
issn = "0375-9393",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "7-8",

}

TY - JOUR

T1 - Il dolore da Tourniquet. Note anatomo-fisiopatologiche e considerazioni cliniche.

AU - Ramaioli, F.

AU - De-Amici, D.

AU - Ceriana, P.

PY - 1996/7

Y1 - 1996/7

N2 - OBJECTIVES: The mechanism of tourniquet pain is quite complex. This paper, supported by the previous literature on this topic, tries to explain why the anaesthetic blockade of a limb, even when thechnically successful, not always prevents the occurrence of this pain. DATA SOURCES: Papers published between 1990 and 1995, listed on Index Medicus, with pertinent references. STUDY SELECTION: Reports dealing with physiological basis of tourniquet pain. CONCLUSIONS: Tourniquet pain is nociceptive, generated not only by activation of peripheral nociceptors, but also by direct axonal stimulation of nervous trunks. Is is hardly to tolerated by patients since ischemia and mechanical compression induce an activation of C fibres, resistent to ischemia. A beta fibres are involved as well, due to the activation of low-threshold mechanoceptors.

AB - OBJECTIVES: The mechanism of tourniquet pain is quite complex. This paper, supported by the previous literature on this topic, tries to explain why the anaesthetic blockade of a limb, even when thechnically successful, not always prevents the occurrence of this pain. DATA SOURCES: Papers published between 1990 and 1995, listed on Index Medicus, with pertinent references. STUDY SELECTION: Reports dealing with physiological basis of tourniquet pain. CONCLUSIONS: Tourniquet pain is nociceptive, generated not only by activation of peripheral nociceptors, but also by direct axonal stimulation of nervous trunks. Is is hardly to tolerated by patients since ischemia and mechanical compression induce an activation of C fibres, resistent to ischemia. A beta fibres are involved as well, due to the activation of low-threshold mechanoceptors.

UR - http://www.scopus.com/inward/record.url?scp=0030179008&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030179008&partnerID=8YFLogxK

M3 - Articolo

C2 - 8999377

AN - SCOPUS:0030179008

VL - 62

SP - 265

EP - 270

JO - Minerva Anestesiologica

JF - Minerva Anestesiologica

SN - 0375-9393

IS - 7-8

ER -