Tourniquet effect on rocuronium use during lower extremity fracture fixation - Takeaways - MDSpire

Tourniquet effect on rocuronium use during lower extremity fracture fixation

  • By

  • Madeline M. Lyons

  • Carlo Eikani

  • Robert Burnham

  • Adam Schiff

  • Michael Ander

  • Ashley E. Levack

  • Joseph Cohen

  • February 20, 2026

  • 0 min

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  • 1

    The study investigates the effect of tourniquet use on the duration of rocuronium during lower limb fracture surgery.

  • 2

    Monitoring twitches at the facial nerve may be inaccurate for assessing paralysis in the lower extremity during tourniquet inflation.

  • 3

    No patients received re-dosing of rocuronium while the tourniquet was inflated, ensuring adherence to the study protocol.

  • 4

    Average time to regain at least one twitch in the facial nerve was 34.5 minutes, with 76% recovering facial twitches before the extremity.

  • 5

    The study included 25 patients, with no statistical differences in demographics or recovery times between facial and extremity twitches.

Original Source(s)

Tourniquet effect on rocuronium use during lower extremity fracture fixation

  • by Madeline M. Lyons, Carlo Eikani, Robert Burnham, Adam Schiff, Michael Ander, Ashley E. Levack, Joseph Cohen

  • February 20, 2026

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