Evaluation of blood evacuation efficiency using 99m Tc-RBC imaging: a comparative study of exsanguination tourniquet rings and Esmarch bandages.

IF 1.3 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Nuclear Medicine Communications Pub Date : 2024-11-01 Epub Date: 2024-08-30 DOI:10.1097/MNM.0000000000001893

Ninghu Liu, Binbin Sun, Jianjie Xu, Jianqiao Xu, Keqi Zhao, Shaonan Xu, Xinhui Su, Weifeng Zhou

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引用次数: 0

Abstract

Objective: The objective of this study is to compare the effectiveness of the Esmarch bandage and exsanguination tourniquet rings (ETRs) in blood evacuation procedures using a controlled intra-subject design involving healthy volunteers.

Methods: A total of 20 healthy adult volunteers (12 males, 8 females) were recruited from the community. Participants underwent blood evacuation procedures on both legs, using the Esmarch bandage on one leg and the ETR on the other. The order of the procedures was randomized. Blood evacuation time, overall blood evacuation rate, and calf blood evacuation rate were measured using 99m Tc-labeled red blood cell imaging. Paired t -tests were conducted to compare the effectiveness of the two methods.

Results: The ETRs demonstrated a significantly faster blood evacuation time compared to the Esmarch bandage (mean difference = -41.72 s, P < 0.0001). The overall blood evacuation rate was slightly higher for the ETRs (mean difference = 1.717%), though not statistically significant ( P = 0.3680). The calf blood evacuation rate was significantly higher for the ETRs (mean difference = 6.86%, P = 0.0225). No significant discomfort or adverse reactions were reported by any participants.

Conclusion: ETRs are more efficient in terms of blood evacuation time and calf blood evacuation rate compared to the Esmarch bandage, without causing significant discomfort or adverse reactions. These findings suggest that ETRs could be a preferable option in clinical settings for blood evacuation procedures.

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利用 99mTc-RBC 成像评估血液排空效率：止血环和 Esmarch 绷带的比较研究。

研究目的本研究的目的是通过对健康志愿者进行受试者内对照设计，比较埃斯马奇绷带和止血环（ETR）在排血过程中的有效性：方法：从社区招募了 20 名健康成年志愿者（12 名男性，8 名女性）。参与者的两条腿都进行了排血过程，一条腿使用 Esmarch 绷带，另一条腿使用 ETR。手术顺序随机。使用 99mTc 标记的红细胞成像技术测量排血时间、总排血率和小腿排血率。对两种方法的有效性进行了配对 t 检验：结果：与 Esmarch 绷带相比，ETR 的排血时间明显更快（平均差异 = -41.72 秒，P < 0.0001）。ETR 的总体排血率略高（平均差异 = 1.717%），但无统计学意义（P = 0.3680）。ETR 的小腿排血率明显更高（平均差异 = 6.86%，P = 0.0225）。所有参与者均未报告明显不适或不良反应：结论：与 Esmarch 绷带相比，ETR 在排血时间和小腿排血率方面更有效，且不会引起明显不适或不良反应。这些研究结果表明，在临床环境中，ETR 可作为排血程序的首选。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nuclear Medicine Communications 医学-核医学

CiteScore

2.20

自引率

6.70%

发文量

212

审稿时长

3-8 weeks

期刊介绍： Nuclear Medicine Communications, the official journal of the British Nuclear Medicine Society, is a rapid communications journal covering nuclear medicine and molecular imaging with radionuclides, and the basic supporting sciences. As well as clinical research and commentary, manuscripts describing research on preclinical and basic sciences (radiochemistry, radiopharmacy, radiobiology, radiopharmacology, medical physics, computing and engineering, and technical and nursing professions involved in delivering nuclear medicine services) are welcomed, as the journal is intended to be of interest internationally to all members of the many medical and non-medical disciplines involved in nuclear medicine. In addition to papers reporting original studies, frankly written editorials and topical reviews are a regular feature of the journal.