Acute compartment syndrome

Guo, Jialiang; Yin, Yingchao; Jin, Lin; Zhang, Yingze; Hou, Zhiyong

doi:10.1097/md.0000000000016260

Cited by 73 publications

(48 citation statements)

References 56 publications

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“…Sport events such football can be one of the main causes for ACS in legs [25. ] In the group that underwent delayed fasciotomies, or fasciotomies performed after initial evacuation, they had higher Muscle excision (25 against 11%), amputation (31 versus 15%), and mortality (19 versus 5 percent) [6] that's why early intervention is important.…”

Section: Incidencementioning

confidence: 99%

“…More and more studies have shown that pressures greater than 30 mm Hg can be tolerated without causing harm, and it has been proposed that the difference between diastolic and compartment pressure, rather than an absolute threshold, be used as an indication for fasciotomy (diastolic pressure minus compartment pressure <30 mm Hg) [27].…”

Section: Incidencementioning

confidence: 99%

“…The disadvantage of these devices was that they were quickly obstructed by blood and muscle clots. The STIC Monitor is a portable monitor that measures compartment pressure using a side port needle, a disposable saline flush syringe, and a digital read out manometer [27][28][29][30][31].…”

Section: Incidencementioning

confidence: 99%

“…Fasciotomies should be performed very soon if the patient have acute compartment syndrome. The treatment of compartment syndrome (delayed or missing diagnosis) is more problematic [6].…”

Section: Introductionmentioning

confidence: 99%

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Etiology, Diagnosis and Management of Acute Compartment Syndrome: A Simple Review

Albalawi

AlBaltan

Alzahrani³

et al. 2021

JPRI

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The study aimed to summarize the updated evidence regards, Etiology, Diagnosis and Management of Acute compartment syndrome. Acute compartment syndrome (ACS) is a condition in which pressure builds up inside a closed osteofascial compartment, impairing local circulation. Early diagnosis and treatment are credited with the best outcomes following Acute Compartment Syndrome. The severity of compartment syndrome varies from mild to severe. Fasciotomies should be performed very soon if the patient have acute compartment syndrome. The treatment of late compartment syndrome (delayed or missing diagnosis) is more problematic. Long duration of acute compartment syndrome without treatment can cause irreversible damage that’s why early intervention is a must, non-operative measurement is preferred if possible, to prevent any surgical complications, however if surgery is needed it must be performed with Two-incision fasciotomy being the most used method.

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Section: Incidencementioning

confidence: 99%

Section: Incidencementioning

confidence: 99%

Section: Incidencementioning

confidence: 99%

“…Fasciotomies should be performed very soon if the patient have acute compartment syndrome. The treatment of compartment syndrome (delayed or missing diagnosis) is more problematic [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Etiology, Diagnosis and Management of Acute Compartment Syndrome: A Simple Review

Albalawi

AlBaltan

Alzahrani³

et al. 2021

JPRI

View full text Add to dashboard Cite

show abstract

“…The initial suspicion of ACS is mostly inferred from observing its classical features, such as pain, pallor, pulselessness, paresthesia, poikilothermy, and paralysis [ 7 ]. It is verified either through invasive or non-invasive methods [ 8 , 9 , 10 ]. A typical invasive method is through measuring and calculating the difference between the mean arterial pressure and the intra-compartmental pressure (ICP) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Utilizing Dynamic Phosphorous-31 Magnetic Resonance Spectroscopy for the Early Detection of Acute Compartment Syndrome: A Pilot Study on Rats

Ohta

Hata

et al. 2021

Diagnostics

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Introduction: Disasters, including terrorism and earthquakes, are significant threats to people and may lead to many people requiring rescue. The longer the rescue takes, the higher the chances of an individual contracting acute compartment syndrome (ACS). ACS is fatal if diagnosed too late, and early diagnosis and treatment are essential. Objective: To assess the ability of dynamic phosphorus magnetic resonance spectroscopy (31P-MRS) in the early detection of muscular damage in ACS. Materials and Methods: Six ACS model rats were used for serial 31P-MRS scanning (9.4 Tesla). Skeletal muscle metabolism, represented by the levels of phosphocreatine (PCr), inorganic phosphate (Pi), and adenosine triphosphate (ATP), was assessed. The PCr/(Pi + PCr) ratio, which decreases with ischemia, was compared with simultaneously sampled plasma creatine phosphokinase (CPK), a muscle damage marker. Results: The PCr/(Pi + PCr) ratio significantly decreased after inducing ischemia (from 0.86 ± 0.10 to 0.18 ± 0.06; p < 0.05), while CPK did not change significantly (from 89 ± 29.46 to 241.50 ± 113.28; p > 0.05). The intracellular and arterial pH index decreased over time, revealing significant differences at 120 min post-ischemia (from 7.09 ± 0.01 to 6.43 ± 0.13, and from 7.47 ± 0.03 to 7.39 ± 0.04, respectively). In the reperfusion state, the spectra and pH did not return to the original values. Conclusions: The dynamic 31P-MRS technique can rapidly detect changes in muscle bioenergetics. This technique is a promising non-invasive method for determining early muscular damage in ACS.

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Nursing of forearm hematoma after transradial coronary intervention

Zhi,

Lei,

Qian

et al. 2024

Health Science Reports

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BackgroundComplications such as forearm hematoma after coronary intervention through the radial artery are a common complication.Material and methodsBy observing, describing, and analyzing the pictures taken during clinical diagnosis and consultation, we summarize the prevention, treatment, and nursing of forearm hematoma after percutaneous coronary intervention, to provide reference for the nursing of patients with forearm hematoma.ResultsWe have innovatively summarized the risk classification of forearm hematoma and the three key time points for preventing hematoma.ConclusionComplications such as forearm hematoma after coronary intervention through the radial artery are a common complication. We have innovatively summarized the risk classification of forearm hematoma and the three key time points for preventing hematoma, providing reference for the prevention and management of forearm hematoma in clinical practice. For patients undergoing transradial coronary intervention, the three key time points for preventing hematoma and symptomatic management based the risk classification of forearm hematoma are crucial.

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Acute compartment syndrome

Abstract: Supplemental Digital Content is available in the text

Cited by 73 publications

References 56 publications

Etiology, Diagnosis and Management of Acute Compartment Syndrome: A Simple Review

Etiology, Diagnosis and Management of Acute Compartment Syndrome: A Simple Review

Utilizing Dynamic Phosphorous-31 Magnetic Resonance Spectroscopy for the Early Detection of Acute Compartment Syndrome: A Pilot Study on Rats

Nursing of forearm hematoma after transradial coronary intervention

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