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Tourniquet was inflated. I hear that the most.

Posted By: Olive on 2009-01-10
In Reply to: tourniquet s/l incliged to 250 mmHg - JuliaC

Subject: Tourniquet was inflated. I hear that the most.




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MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR
Subject: MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR

Any ideas on the "TOR"?  I'm really stumped on this,  It's probably something simple..... 
and inflated ?? - nm
Subject: and inflated ?? - nm


...mandrin, balloon inflated with ...
Subject: ...mandrin, balloon inflated with ...


Lacrimal duct balloon inflated to 8 s/l bar? nm
Subject: Lacrimal duct balloon inflated to 8 s/l bar? nm


Tourniquets routinely inflated to 200-350 mmHg or so for limb surgery. nm
Subject: Tourniquets routinely inflated to 200-350 mmHg or so for limb surgery. nm

,
tourniquet
There is a DUAL tourniquet..
tourniquet
Subject: tourniquet

maybe increased?
DIAL tourniquet maybe...
xx
dial tourniquet

 


I'm not sure but an orthopedic doctor I type for says well padded nonsteriile tourniquet could it be that or sterile tourniquet? 


A "Turnakot" was used as a tourniquet
Subject: A "Turnakot" was used as a tourniquet

A "Turnakot" was used a tourniquet for both fingers.  
name of thumb tourniquet
Subject: name of thumb tourniquet

 


Sounds like "tournicot"? 


I believe it is Rumel as in the tourniquet
Subject: I believe it is Rumel as in the tourniquet


s/l Burgin tourniquet
Subject: s/l Burgin tourniquet


They also say the tourniquet was elevated
Subject: They also say the tourniquet was elevated


well-padded thigh tourniquet, maybe? nm
x
No, not Esmarch--that's a type of tourniquet. nm
Subject: No, not Esmarch--that's a type of tourniquet. nm

x
B could be for Bier block if tourniquet was used
Subject: B could be for Bier block if tourniquet was used

x
he's probably saying no hair tourniquet in GU exam
Subject: he's probably saying no hair tourniquet in GU exam

It is pretty bad.  When my little baby was only a couple of months old, I took off his tiny sock and, to my horror, a piece of hair was wrapped so tight around his teeny little toe that it had swollen and turned purple-red.  I so almost panicked.  I painstakingly removed it, which was no easy task, and vowed to be ever so more careful that it never happened again...
So how does a hair tourniquet get started?
Subject: So how does a hair tourniquet get started?

You can kind of see how a hair would be so fine, and babies have that sweet baby plumpness so that it would be hard to see the hair until the baby had redness and irritation, but does the hair just sort of get worked into the area from a sock or something that was in the dryer and had a hair already on it? Who knew there were so many things to worry about??
BTW, Carol, I think it is 250mmHg for the tourniquet....sm
Subject: BTW, Carol, I think it is 250mmHg for the tourniquet....sm

right now I am a full-time OP MT and have done thousands, I have never heard of the surgeon putting the tourniquet up over 275 mmHg, mostly I get 250 mmHg, I didn't want to cut in, just wanted to give a shout out for help to you!!
tourniquet s/l incliged to 250 mmHg
Subject: tourniquet s/l incliged to 250 mmHg

Got any ideas? It definetly doesn't sound like inflated or elevated. Thanks in advance.
Zimmer makes an ATS tourniquet. ? nm
Subject: Zimmer makes an ATS tourniquet. ? nm


Has anyone heard of a well padded dial tourniquet?
It sounds like the Dr is saying dial but not sure.
Ooooops!!! Sorry!!! I meant "DUAL" tourniquet


hair tourniquet--which put of physical examination would this go in??
Subject: hair tourniquet--which put of physical examination would this go in??

I looked up "hair tourniquet" to find that it affects mostly infants, a hair wrapped tightly around an extremity or the external genitalia causing extreme discomfort. I've got a rambling dictator who states things in no particular order. Does anyone have an opinion on where this is most properly put?


 


Found a DePuy (dee-pew) reusable tourniquet on a search. nm
.
A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help
Subject: A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help? ThX

x
s/l osteo tourniquet - used for trigger thumb release (thanks)
Subject: s/l osteo tourniquet - used for trigger thumb release (thanks)

x
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.


Can you hear "mild". Hear that a lot. nm
Subject: Can you hear "mild". Hear that a lot. nm


I do not hear that
Subject: I do not hear that

but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
or can you hear..................nm
Subject: or can you hear..................nm


can you hear VRE - this has been associated
Subject: can you hear VRE - this has been associated

with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?" GOOD LUCK!
can you hear?
Subject: can you hear?

guaifenesin and Tessalon Perles
can you hear
Subject: can you hear

,,,
That's it. Can hear it clearly. Thanks so much!
Subject: That's it. Can hear it clearly. Thanks so much!


Thank you. I really could not hear...
Subject: Thank you. I really could not hear...

cortical; he was not an ESL and said it 5 or 6 times in the report.

Thanks for trying.
Usually hear this
Subject: Usually hear this

nerve root impingement
Used to hear that a lot. sm
Subject: Used to hear that a lot. sm

back in the day they said leukouria a lot, not so much today. I just typed it like that. I think it may have been in one of those old Dorland's from the 70s. 
can you hear...
Subject: can you hear...

suggested etiology or suggest ... or maybe assess etiology. Sorry, just making some guesses without knowing what's right before and after.
I'd like to hear more about this:...(sm).
Subject: I'd like to hear more about this:...(sm).

hysterical anesthesia


Bodily anesthesia occurring in hysteria


Can you hear
Subject: Can you hear

Byetta?
Can you hear
Subject: Can you hear

Easy? That makes the most sense.
Can you hear
Subject: Can you hear

Harmonic scalpel?
Thanks. Now I hear it.
Subject: Thanks. Now I hear it.


can you hear
Subject: can you hear

transverse?
I hear ya
Subject: I hear ya

Since there are so many different transcription platforms, you can't always program in the 1/2 symbol and typing it like that - 1/2 - is clumsy and can be unclear when read. The guidelines at my last in-house job were to convert it to decimal if possible.
Can you hear something like sm
Subject: Can you hear something like sm

ACBE or air contrast barium enema??? 
sorry I would have to actually hear that one I think. nm
Subject: sorry I would have to actually hear that one I think. nm

.
This is not it either, I def hear a 'D' before
Subject: This is not it either, I def hear a 'D' before