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To compare the adequacy of exsanguination in the surgical field between the use of the Esmarch bandages elevation and the simple leg elevation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Esmarch bandages | Active Comparator |
| |
| simple leg elevation | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Esmarch bandages | Other | Esmarch bandage (also known as Esmarch's bandage for surgical haemostasis or Esmarch's tourniquet) in its modern form is a narrow (5 to 10 cm wide) soft rubber bandage that is used to expel venous blood from a limb (exsanguinate) that has had its arterial supply cut off by a tourniquet. |
| Measure | Description | Time Frame |
|---|---|---|
| Fromme-Boezaart surgical field scale | Fromme-Boezaart surgical field scale is visual assessment of surgical field using a 6-point scale (min=0, max=5) 0 mean No bleeding
| Immediate after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical rating scale: NRS at 24 hrs | NRS is a pain intensity assessment of patients using a 11 point scale (min=0, max=10) 0=no pain 10= worst pain | 24 hours after surgery |
| Numerical rating scale: NRS at 72 hrs |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Satit Thiengwittayaporn, M.D. | Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Navamindradhiraj University | Dusit | Bangkok | 10300 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40355975 | Derived | Chaitantipongse S, Hongku N, Thiengwittayaporn S. Optimizing surgical field visualization in total knee arthroplasty: a randomized controlled trial comparing esmarch bandages and simple leg elevation. J Orthop Surg Res. 2025 May 13;20(1):455. doi: 10.1186/s13018-025-05853-6. |
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|
| simple leg elevation | Other | simple leg elevation 45 degree for 2 minutes is used to expel venous blood from a limb |
|
NRS is a pain intensity assessment of patients using a 11 point scale (min=0, max=10) 0=no pain 10= worst pain
| 72 hours after surgery |