Is Tourniquet Time a Substitute for Incision Time: Q&A With Donna Slosburg of the ASC Quality Collaboration

The following question concerns the article, “Overview of Quality Reporting in Surgery Centers: Q&A With ASC Donna Slosburg of the ASC Quality Collaboration.” The answer is provided by Donna Slosburg, BSN, LHRM, CASC, executive director of the ASC Quality Collaboration.

Q: Could you please provide a reference for the antibiotic timing in relation to insertion of scope, needle or inflation of tourniquet? I have previously tried to find this information with no luck.

Donna Slosburg: The information below is from the ASC Quality Measures: Implementation Guide (pdf) on p. 12 of 31, under frequently asked questions:

“Is tourniquet time a substitute for incision time?

“Tourniquet time is included based on published studies that demonstrate higher tissue concentrations of prophylactic antibiotics when the administration is prior to tourniquet inflation. The use of tourniquet time is consistent with the American Academy of Orthopedic Surgery Advisory Statement which recommends infusion prior to inflation of a proximal tourniquet, rather than prior to incision.”

Learn more about the ASC Quality Collaboration.

Is Tourniquet Time a Substitute for Incision Time: Q&A With Donna Slosburg of the ASC Quality Collaboration

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