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Its not just that 1800mg of Ibuprophen (5400 mg per day) is dangerous (stomach ulcers, bleeding, kidney damage)... the extra dosage doesn’t work! There is a ceiling effect above which extra mg don't benefit.
800mg three times per day (2400mg) is the most I would recommend in my pain practice...
The pharmacology is very similar however it was my clinical observation with patients (and myself) that Vioxx was more efficacious. Supposedly this drug is similar to Vioxx. Drugs in the same class have different efficacy in different people. Can’t get any more specific than that. Celebrex is fine.
I stand corrected ~ when you’re in an OR all day, you’re unaware of what’s going on in the outside world. I rarely do first aid! Scanning Amazon I see some portable tourniquets that should be adequate.
Extremities can go a long time without blood flow. The nerves are the most sensitive. In the...
As a doctor who uses tourniquets all the time in the operating room for extremity (arms and legs), I don’t think you need to worry about this. Besides the low probability, unless you bring a full sized surgical tourniquet with bulb and manometer (like a blood pressure cuff) you will *not* be...
Always a good idea to note the time.
Just be aware that its not easy (or even necessary) to get total cessation of blood flow.
We set our tourniquets at 100 mmHg *above* systolic BP to ensure obstuction of arterial blood flow BUT even then, larger or cone shaped limbs (thighs and upper arms)...
That’s true but a limb can be completely deprived of blood flow for up to two hours safely. After that, there is a risk of nerve damage. I’ve used tourniquets in the OR for extremity surgery for 30 years. CK, MD
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