Acute Bullous Eruption With Compartment Syndrome Due to Intravenous Infiltration

Spenny, Michelle L.; Moen, Kathleen Y.; Dinulos, James G.

doi:10.1001/archderm.140.7.798

Cited by 16 publications

(13 citation statements)

References 15 publications

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“…Extravasation of the fluids may have increased the pressure within a limited space and worsened the circulation below the blood pressure cuff. As the thin walls of the venules were pressured and might be ruptured, the administrated fluid and blood were extravasated and this increased the capillary perfusion pressure and caused compartment pressure and high hydrostatic pressure, which all ultimately resulted in edema and bullae [4]. There have been a few cases of compartment syndrome from pressurized infusion like our report [2,10].…”

Section: Discussionmentioning

confidence: 77%

“…There have been a few cases of compartment syndrome from pressurized infusion like our report [2,10]. Another adverse factor may be the patient's age, which increases the vulnerability of skin and also vein fragility [4]. …”

Section: Discussionmentioning

confidence: 80%

“…The common causes of compartment syndrome are muscle avulsion, bone fracture of the tibia or forearm, and external compression [1]. Iatrogenic causes by extravasation related to anesthesia have been reported with drugs like diazepam and antibiotics [4], hyperosmolar solution such as mannitol [5], hypertonic saline [6], a pressurized IV infiltration [2], Bier block [7] and arterial cannulation [8]. …”

Section: Discussionmentioning

confidence: 99%

“…Fasciotomy decompresses the pressure of a compartment and prevents permanent injury of nerves and vessels. Spenny et al [4] and Tiwari et al [9] reported that their patients recovered from compartment syndrome without complication by performing fasciotomy. The wait-and-see approach is strongly contraindicated for treatment, and this approach can quickly result in permanent sequelae.…”

Section: Discussionmentioning

confidence: 99%

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Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia -A case report-

Sung

Chung

Suk

et al. 2011

Korean J Anesthesiol

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A 74-year-old woman underwent posterior lumbar decompressive fusion at L4-5 for treating spondylolisthesis, with the patient under general anesthesia and she was in the prone position. Following attempts to transfuse blood using a pressurized bag, the intravenous infusion site of the left hand along with the noninvasive blood pressure cuff was changed. Swelling and several bullae on the left forearm and hand were visible. Removal of intravenous catheter, hyaluronidase injection, wet dressing were subsequently performed. In postanesthesia recovery unit, the patient did not complain of pain, and the radial pulse and oxygen saturation of the left appeared normal. Three days after the incident, the edema on the patient's forearm and hand subsided, and the patient was discharged without any complications two weeks afterwards. Impending compartment syndrome should be given close attention, and particularly when performing pressurized infusion in patients who are unable to express pain because they are under general anesthesia.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia -A case report-

Sung

Chung

Suk

et al. 2011

Korean J Anesthesiol

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show abstract

“…Some of the most common causes include trauma (i.e. fractures and crush injuries), snake envenomation, high-pressure injections, intravenous drug use, insect bites, and intravenous (IV) fluid extravasation [1,8]. Currently, the signs used to diagnosis compartment syndrome of the hand include extent of swelling, palpation of tense compartments and intensity of pain [5].…”

Section: Introductionmentioning

confidence: 99%

Compartment Syndrome of the Hand Presenting as Bullous Edema

Braunlich¹,

Braunlich²,

Brink³

et al. 2020

Cureus

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Compartment syndrome of the hand can be a challenging diagnosis to ascertain. The difficulty in diagnosis is in part due to the absence of an established diagnostic criteria. Additionally, when a patient presents obtunded or with an altered sensorium, the identification of compartment syndrome of the hand can be further complicated. Despite the potential difficulty in diagnosis, it is of upmost importance for orthopedic surgeons to recognize and treat this entity in an expeditious manner. Without prompt treatment, the risk is increased morbidity including possible amputation. Here, we present a unique and thought-provoking case along with a review of the literature. The purpose of sharing this case is to highlight potential clues to aid in prompt diagnosis and improve patient outcomes.

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The vesiculobullous reaction pattern

Weedon

2010

Weedon's Skin Pathology

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Acute Bullous Eruption With Compartment Syndrome Due to Intravenous Infiltration

Cited by 16 publications

References 15 publications

Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia -A case report-

Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia -A case report-

Compartment Syndrome of the Hand Presenting as Bullous Edema

The vesiculobullous reaction pattern

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