Forearm Compartment Syndrome Caused by Reperfusion Injury

Sayar, Ufuk; Özer, Tanıl; Mataracı, İlker

doi:10.1155/2014/931410

Cited by 7 publications

(10 citation statements)

References 7 publications

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“…14 After embolectomy, patients must be monitored closely for development of compartment syndrome caused by reperfusion and treated accordingly. 15 …”

Section: Upper Extremity Ischemiamentioning

confidence: 99%

Upper Extremity Complications and Concerns in Patients With Cardiac Disease

Dineen

Gentry

Draeger

2016

The Journal of Hand Surgery

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“…14 After embolectomy, patients must be monitored closely for development of compartment syndrome caused by reperfusion and treated accordingly. 15 …”

Section: Upper Extremity Ischemiamentioning

confidence: 99%

Upper Extremity Complications and Concerns in Patients With Cardiac Disease

Dineen

Gentry

Draeger

2016

The Journal of Hand Surgery

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“…Delayed diagnosis puts the patient at increased risk of life-threatening reperfusion syndrome following revascularisation. As described by Sayar, Ozer, and Mataraci (2014), reperfusion syndrome includes both local (compartment syndrome, ischaemic contractures) and systemic effects (including hyperkalaemia, acidosis, renal, hepatic, and pulmonary insufficiency, arrhythmias, and consequent cardiac arrest). Patients with delayed diagnosis are also more likely to require fasciotomies, due to the increased likelihood of compartment syndrome.…”

Section: Secondary Care Managementmentioning

confidence: 99%

Acute limb ischaemia

Forsyth

2016

InnovAiT: Education and inspiration for general practice

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A cute limb ischaemia (ALI) is a disease that carries with it a high morbidity and mortality. It is a time-critical disease process; the best outcomes are seen when patients are rapidly diagnosed and referred immediately to a vascular surgery unit. Unfortunately, if the diagnosis is missed or delayed, this puts the patient at high risk of irreversible limb loss and amputation. The aim of this article is to cover the aetiology, diagnosis and management of ALI, mainly from a primary care level, along with secondary care management options. The GP curriculum and acute limb ischaemia From the GP curriculum there are three main areas that list the learning objectives that are relevant for GPs treating patients with acute limb ischaemia: Clinical module 3.01: Healthy people: Promoting health and preventing disease, clinical module 3.03: Care of acutely ill people, and clinical module 3.12: Cardiovascular health. In particular GPs are expected to:. Demonstrate a reasoned approach to the diagnosis of cardiovascular symptoms using history, examination, incremental investigations and referral. Investigations you will be expected to understand and utilise including the 12-lead electrocardiogram and ankle-brachial pressure index measurement. Be able to manage cardiovascular conditions including: cerebrovascular disease, arrhythmias (atrial fibrillation being the most common), and peripheral vascular disease. Recognise the signs of illnesses and conditions that require urgent intervention. Promote cardiovascular well-being by applying health promotion and disease prevention strategies appropriately. Promote health through a health promotion or disease prevention programme Acute limb ischaemia (ALI) can be defined as a sudden loss of limb perfusion, leading to ischaemic tissue injury and the resulting risk of limb loss. Most cases of ALI are caused by thrombosis of a limb artery or bypass graft, embolism from the heart or a diseased artery, dissection, or trauma (Acar, Sahin, and Kirma, 2013). The incidence of ALI is around 1.5 cases per 10 000 people per year (Naidoo, Rautenback, and Kahn, 2013).

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“…Compartment syndrome is a pathological condition caused by increased pressure within a closed fascial compartment, which may cause ischaemia, and result in functional loss of muscle and nerve tissue 1. There are various causes of compartment syndrome and many studies have concluded that fractures are the commonest; for example, they accounted for 69% of cases in a study by McQueen et al 2.…”

Section: Introductionmentioning

confidence: 99%

“…Acute compartment syndrome, which is the focus of this report, is often secondary to trauma; the pressure rise occurs from bleeding or inflammation. However, chronic compartment syndrome occurs when excessive exercise results in increased pressure within an enclosed fascial compartment in a susceptible individual 1 3…”

Section: Introductionmentioning

confidence: 99%

“…Compartment syndrome is classically diagnosed clinically, on history and examination, with surgeons maintaining a high index of suspicion 7. In the early stages of the condition, symptoms include pain out of proportion to the injury, which worsens on passive stretch, despite adequate and increasing analgaesia such as opioids; signs include a firm and visibly swollen myofascial compartment 1. As the condition progresses, the affected limb may later exhibit pallor, paraesthesia, cold extremities, an absence of distal pulses or paralysis 1.…”

Section: Introductionmentioning

confidence: 99%

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Propofol extravasation: a rare cause of compartment syndrome

Kalraiya

Madanipour²,

Colaco³

et al. 2015

BMJ Case Reports

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We detail a rare cause of forearm compartment syndrome that occurred in an 18-year-old patient who presented with a Glasgow Coma Scale of 13/15 after a mixed drug overdose and subsequently required intubation. She suffered extravasation of her propofol infusion, which resulted in intrinsic compression within her forearm muscle compartments. Fortunately, the diagnosis of compartment syndrome was made swiftly and the patient was taken to theatre within 3 h where she underwent an emergency forearm fasciotomy. She made an uneventful recovery and at follow-up her wounds had healed well with no associated morbidity or loss of function. The learning points of this study highlight the importance of thoroughly understanding the signs and symptoms of compartment syndrome while maintaining a high index of suspicion. In addition to a thorough history and examination, consideration of the potential underlying causes allows for a swifter diagnosis and a quicker transition to theatre.

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Forearm Compartment Syndrome Caused by Reperfusion Injury

Cited by 7 publications

References 7 publications

Upper Extremity Complications and Concerns in Patients With Cardiac Disease

Upper Extremity Complications and Concerns in Patients With Cardiac Disease

Acute limb ischaemia

Propofol extravasation: a rare cause of compartment syndrome

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