Regional anesthesia and compartment syndrome

2012 ◽  
pp. 26-32
Author(s):  
Jeff Gadsden
Keyword(s):  
Compartment Syndrome ◽  
Regional Anesthesia

Regional anesthesia and acute compartment syndrome: principles for practice

2021 ◽  
pp. rapm-2021-102735
Author(s):  
Tim Dwyer ◽  
David Burns ◽  
Aaron Nauth ◽  
Kaitlin Kawam ◽  
Richard Brull
Keyword(s):  
Compartment Syndrome ◽  
Regional Anesthesia ◽  
Clinical Symptoms ◽  
Motor Nerve ◽  
Acute Compartment Syndrome ◽  
Clinical Settings ◽  
Tissue Ischemia ◽  
Orthopedic Surgical Procedures ◽  
Cardinal Symptom ◽  
Symptoms And Signs

Acute compartment syndrome (ACS) is a potentially reversible orthopedic surgical emergency leading to tissue ischemia and ultimately cell death. Diagnosis of ACS can be challenging, as neither clinical symptoms nor signs are sufficiently sensitive. The cardinal symptom associated with ACS is pain reported in excess of what would otherwise be expected for the underlying injury, and not reasonably managed by opioid-based analgesia. Regional anesthesia (RA) techniques are traditionally discouraged in clinical settings where the development of ACS is a concern as sensory and motor nerve blockade may mask symptoms and signs of ACS. This Education article addresses the most common trauma and elective orthopedic surgical procedures in adults with a view towards assessing their respective risk of ACS and offering suggestions regarding the suitability of RA for each type of surgery.

scholarly journals Compartment syndrome following intravenous regional anesthesia

2000 ◽  
Vol 47 (11) ◽  
pp. 1094-1098 ◽  
Author(s):  
Chidambaram Ananthanarayan ◽  
Carmencita Castro ◽  
Nancy McKee ◽  
George Sakotic
Keyword(s):  
Compartment Syndrome ◽  
Regional Anesthesia ◽  
Intravenous Regional Anesthesia

Regional Anesthesia and Compartment Syndrome

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Peter Marhofer ◽  
Jens Halm ◽  
Georg C. Feigl ◽  
Tim Schepers ◽  
Markus W. Hollmann
Keyword(s):  
Compartment Syndrome ◽  
Regional Anesthesia

scholarly journals Regional anesthesia for compartment syndrome as a complication of ECMO. Case report

2021 ◽  
Author(s):  
José Daniel Romero ◽  
David Fernández-Morales ◽  
Marysol Echeverri Vélez ◽  
Laura Mínguez Lujan ◽  
María Pilar Argente Navarro
Keyword(s):  
Compartment Syndrome ◽  
Regional Anesthesia ◽  
Venous Return ◽  
High Flow ◽  
High Flow Nasal Cannula ◽  
Refractory Cardiogenic Shock ◽  
High Flow Oxygen ◽  
Anomalous Pulmonary Venous Return ◽  
Popliteal Block ◽  
The Right

We present the case of a patient intervened for mechanical mitral replacement, tricuspid annuloplasty, and correction of a total anomalous pulmonary venous return, which required Extracorporeal Membrane Oxygenation (ECMO) in the immediate postoperative period because of refractory cardiogenic shock. After withdrawal of the arterial cannula, the patient developed compartment syndrome of the right lower limb, requiring urgent intervention. Also, the patient went into respiratory failure, requiring support with high flow oxygen cannula. Given the patient’s condition, general anesthesia was discarded. An ultrasound-guided popliteal block and sedation with dexmedetomidine and ketamine was performed instead, maintaining the high flow nasal cannula. Regional anesthesia along with dexmedetomidine and ketamine could be an alternative for a surgical procedure in patients with high risk of cardiovascular and respiratory complications.

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