Transient Compartment Syndrome of the Forearm After Attempted Radial Artery Cannulation

Qvist, J; Peterfreund, Robert A.; Perlmutter, Gary S.

doi:10.1097/00000539-199607000-00033

Cited by 15 publications

(9 citation statements)

References 12 publications

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“…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%

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: 99%

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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“…Compartment syndromes related to anesthesia have been reported to occur with drug extravasation [4,5], pressurized IV fluids [6], hypertonic saline [7], attempts at cannulating arteries [8,9], and intraarterial barbiturates [10]. Regardless of the etiology, the pathophysiology is an increasing intracompartmental pressure that hinders microcirculatory perfusion, which can result in ischemic injury to the muscle, nerves and other compressed structures.…”

Section: Discussionmentioning

confidence: 99%

Acute compartment syndrome of the forearm and hand in a patient of spine surgery -A case report-

Lee

Jeon

Jung

et al. 2010

Korean J Anesthesiol

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A 38-year-old woman underwent a 4-hour operation in the prone position for a laminectomy at C4-7 and posterior cervical decompressive fusion at C7-T1 under general anesthesia. After undraping at the end of surgery, considerable swelling with many blisters of the left forearm and hand was observed. The chest roll at the left side had moved cephalad into the axilla and compressed the axillary structures. An emergency fasciotomy to decompress the compartments of the forearm and dorsal surface of the hand was performed. In the post anesthesia care unit, the radial pulse of the left hand was palpable and the level of oxygen saturation was normal. Forearm and hand edema subsided gradually over several days and the patient was discharged with full function of her left arm. This compartment syndrome suggests careful attention should be paid to the position of the chest roll when the prone position is established for a long duration.

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“…The CSF has been described mainly not only as a result of forearm fractures (supracondylar humerus in pediatric population and distal radial in adults), but also, in other settings, as osteotomies, high‐voltage electrical injuries, bites, harvesting of the radial artery in cardiac surgery, 4 systemic thrombolysis, 5 cannulation in the setting of acute care, 6 intravenous line extravasation, 7 or illicit drug injections, 8 and as in our case, as a complication of transradial angiography or intervention.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Compartment Syndrome of the Arm in a Large Series of Transradial Approach for Coronary Procedures

Tizón‐Marcos¹,

Barbeau²

2008

J Interven Cardiology

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Transient Compartment Syndrome of the Forearm After Attempted Radial Artery Cannulation

Cited by 15 publications

References 12 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-

Acute compartment syndrome of the forearm and hand in a patient of spine surgery -A case report-

Incidence of Compartment Syndrome of the Arm in a Large Series of Transradial Approach for Coronary Procedures

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