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CARDIOVASCULAR ANESTHESIA

Vasospasm After Use of a Tourniquet: Another Cause of Postoperative Limb Ischemia?

Rodrigo R. Gazmuri^*, Juan A. Muñoz^*, Juan P. Ilic^*, Ricardo M. Urtubia^*, and Roberto R. Glucksmann

*Intensive Care & Anesthesia Unit, Trauma Unit, Mutual de Seguridad Hospital, C.CH.C. Santiago, Chile

Address correspondence to Rodrigo R Gazmuri, MD, Intensive Care and Anesthesia Unit, Mutual de Seguridad Hospital, C.CH.C., Alameda 4848, Santiago, Chile. Address e-mail to rgazmuri{at}entelchile.net

IMPLICATIONS:Two previously reported causes of postoperative limb ischemia after use of a tourniquet, compartment syndrome and arterial thromboembolism, require aggressive and invasive management. We report another probable cause that can be managed nonsurgically: vasospasm.