Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion

Karaören, Gülşah; Bakan, Nurten; Tomruk, Şenay Göksu; Topaç, Zelin; Kurtulmuş, Tuhan; Irkoren, Saime

doi:10.1155/2016/2718421

Cited by 3 publications

(2 citation statements)

References 14 publications

(12 reference statements)

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“…The present study also revealed that the central soleus muscle is most frequently subjected to the pressure load. Postoperative incidence of WLCS and DVT are most often associated with the soleus muscle, and pressure loading in this area must be considered during rectal surgeries [ 13 , 25 , 26 ]. However, as pressure application on the soleus muscle is not avoidable when using lithotomy stirrups, it is important to improve the quality of the stirrups to reduce the pressure load on this muscle.…”

Section: Discussionmentioning

confidence: 99%

Preliminary comparative study of lower extremity pressure measurements under the conditions using former models and new lithotomy stirrups in rectal cancer surgery

Ochi,

Katsuno,

Kato

et al. 2024

World J Surg Onc

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Background This study aimed to investigate the effect of the use of new lithotomy stirrups-2 on the pressure dispersal on lower limbs, which may lead to the prevention of well-leg compartment syndrome (WLCS) and deep venous thrombosis (DVT), which are the most commonly associated adverse events with laparoscopic and robot-assisted rectal surgery. Methods A total of 30 healthy participants were included in this study. The pressure (mmHg) applied on various lower limb muscles when using conventional lithotomy stirrups-1 and new type stirrups-2 was recorded in various lithotomy positions; 1) neutral position, 2) Trendelenburg position (15°) with a 0° right inferior tilt, and 3) Trendelenburg position (15°) with a 10° right inferior tilt. Using a special sensor pad named Palm Q®, and the average values were compared between two types of stirrups. Results The use of new lithotomy stirrups-2 significantly reduced the pressure applied on the lower limb muscles in various lithotomy positions compared with the use of lithotomy stirrups-1. The most pressured lower limb muscle when using both lithotomy stirrups was the central soleus muscle, which is the most common site for the development of WLCS and DVT. In addition, when using the conventional lithotomy stirrups-1, the pressure was predominantly applied to the proximal soleus muscle; however, when using lithotomy stirrups-2, the pressure was shifted to the more distal soleus muscle. Conclusion These results suggest that the new lithotomy stirrups-2 is useful in reducing the pressure load on leg muscles, especially on the proximal to central soleus, and may reduce the incidence of WLCS and DVT after rectal surgery performed in the lithotomy position. Further clinical studies are needed to determine whether the use of lithotomy stirrups-2 prevents these complications in various clinical settings.

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Section: Discussionmentioning

confidence: 99%

Preliminary comparative study of lower extremity pressure measurements under the conditions using former models and new lithotomy stirrups in rectal cancer surgery

Ochi,

Katsuno,

Kato

et al. 2024

World J Surg Onc

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“…Highly related codes were presented adjacent to each other in Tables 3 through 10 and subtotaled. All 524 diagnoses in the tables met one of the following criteria 32–85 :…”

Section: Methodsmentioning

confidence: 99%

Use of Diagnosis Codes to Find Blood Transfusion Adverse Events in Electronic Health Records

et al. 2022

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Objective: Electronic health records (EHRs) and big data tools offer the opportunity for surveillance of adverse events (patient harm associated with medical care). We used International Classification of Diseases, Ninth Revision, codes in electronic records to identify known, and potentially novel, adverse reactions to blood transfusion. Methods:We used 49,331 adult admissions involving critical care at a major teaching hospital, 2001-2012, in the Medical Information Mart for Intensive Care III EHRs database. We formed a T (defined as packed red blood cells, platelets, or plasma) group of 21,443 admissions versus 25,468 comparison (C) admissions. The International Classification of Diseases, Ninth Revision, Clinical Modification, diagnosis codes were compared for T versus C, described, and tested with statistical tools.Results: Transfusion adverse events (TAEs) such as transfusion-associated circulatory overload (TACO; 12 T cases; rate ratio [RR], 15.61; 95% confidence interval [CI], 2.49-98) were found. There were also potential TAEs similar to TAEs, such as fluid overload disorder (361 T admissions; RR, 2.24; 95% CI, 1.88-2.65), similar to TACO. Some diagnoses could have been sequelae of TAEs, including nontraumatic compartment syndrome of abdomen (52 T cases; RR, 6.76; 95% CI, 3.40-14.9) possibly being a consequence of TACO.Conclusions: Surveillance for diagnosis codes that could be TAE sequelae or unrecognized TAE might be useful supplements to existing medical product adverse event programs.

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Use of Diagnosis Codes to Find Blood Transfusion Adverse Events in Electronic Health Records

Bright

Bright-Ponte

Palmer

et al. 2021

Preprint

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BackgroundElectronic health records (EHRs) and big data tools offer the opportunity for surveillance of adverse events (patient harm associated with medical care). We chose the case of transfusion adverse events (TAEs) and potential TAEs (PTAEs) because 1.) real dates were obscured in the study data, and 2.) there was emerging recognition of new types during the study data period.ObjectiveWe aimed to use the structured data in electronic health records (EHRs) to find TAEs and PTAEs among adults.MethodsWe used 49,331 adult admissions involving critical care at a major teaching hospital, 2001-2012, in the MIMIC-III EHRs database. We formed a T (defined as packed red blood cells, platelets, or plasma) group of 21,443 admissions vs. 25,468 comparison (C) admissions. The ICD-9-CM diagnosis codes were compared for T vs. C, described, and tested with statistical tools.ResultsTAEs such as transfusion associated circulatory overload (TACO; 12 T cases; rate ratio (RR) 15.61; 95% CI 2.49 to 98) were found. There were also PTAEs similar to TAEs, such as fluid overload disorder (361 T admissions; RR 2.24; 95% CI 1.88 to 2.65), similar to TACO. Some diagnoses could have been sequelae of TAEs, including nontraumatic compartment syndrome of abdomen (52 T cases; RR 6.76; 95% CI 3.40 to 14.9) possibly being a consequence of TACO.ConclusionsSurveillance for diagnosis codes that could be TAE sequelae or unrecognized TAE might be useful supplements to existing medical product adverse event programs.

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Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion

Cited by 3 publications

References 14 publications

Preliminary comparative study of lower extremity pressure measurements under the conditions using former models and new lithotomy stirrups in rectal cancer surgery

Preliminary comparative study of lower extremity pressure measurements under the conditions using former models and new lithotomy stirrups in rectal cancer surgery

Use of Diagnosis Codes to Find Blood Transfusion Adverse Events in Electronic Health Records

Use of Diagnosis Codes to Find Blood Transfusion Adverse Events in Electronic Health Records

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