Heart & Circulation

Cochrane Vascular needs a Consumer Reviewer to comment on a protocol which asks if using a tourniquet (device which applies pressure) during surgery for leg amputation leads to better outcomes

Skills / interests: Consumer (public, patient, carer) input

At least 7,000 major lower limb amputations are performed every year in the UK, the majority of which are for peripheral arterial disease (PAD). The surgery results in significant blood loss.  A tourniquet can be used during amputation to reduce blood loss. However, their value in PAD patients is debated; there is concern that the tourniquet may damage the already poor blood system which will supply the amputation stump, leading to poor wound healing and maybe a need for more surgery. Tourniquet use, therefore, has the potential to both cause and reduce harm.  This protocol describes how the final review hopes to summarise evidence to help decision-making for both healthcare professionals and their patients. If you have personal or carer experience of this condition your comments would be very useful. Systematic review methodology expertise is not needed. If you are interested, we will send you the protocol and a comments checklist.  This task will take between two to three hours.

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