Gradual Versus Intermittent Release of Tourniquet Effect on MAP in Hypertensive Patients Undergoing Upper Limb Orthopedic Surgeries

This study looks at the safest way to release the tourniquet (the tight band used during arm surgeries) in patients with high blood pressure — comparing releasing it gradually versus releasing it all at once — to see which approach causes fewer changes in blood pressure during surgery. **You may be eligible if...** - You have high blood pressure that has been controlled on medication for more than 3 months - You are scheduled for an orthopedic (bone or joint) surgery on your upper arm or hand that requires a tourniquet for at least 30 minutes - Your BMI is in the normal-to-overweight range (18.5–29.9) **You may NOT be eligible if...** - You do not wish to participate - You have serious health problems that put you at high risk for surgery (ASA status above II) - You are having multiple orthopedic procedures or emergency surgery - You have a reason why a tourniquet is not safe for you Talk to your doctor to see if this trial is right for you.