Document Detail


Calf compartment pressures in the Lloyd-Davies position: a cause for concern?
MedLine Citation:
PMID:  12190756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lower limb compartment syndrome is a rare consequence of surgery where the lithotomy position is maintained for several hours. The aim of this study was to observe the effect of the lithotomy position on lower limb compartment pressure and blood flow to the lower limb in surgical patients having colorectal procedures. We prospectively studied 23 patients undergoing colorectal surgery requiring the lithotomy position and recorded lower limb compartment pressure, and the blood pressure in the upper and lower limbs. The lithotomy position led to a significant (p < 0.001) fall in blood pressure to the lower limb from 87 (SD 16) mmHg to 67.9 (SD 12) mmHg and a significant (p < 0.001) rise in lower limb compartment pressure from 13 (SD 7) mmHg to 31 (SD 12) mmHg. These two effects compromise blood flow to the lower limb in long surgical procedures where the lithotomy position is required. Intermittently lowering the legs and restoring blood flow may prevent compartment syndrome developing.
Authors:
D Turnbull; A Farid; S Hutchinson; A Shorthouse; G H Mills
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  57     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-08-22     Completed Date:  2002-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  905-8     Citation Subset:  AIM; IM    
Affiliation:
Senior Lecturer in Anaesthesia and Intensive Care, Royal Hallamshire Hospital, Sheffield S10 2JF, UK. david.turnbull@sth.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Pressure
Compartment Syndromes / etiology*,  prevention & control
Head-Down Tilt / adverse effects*
Humans
Intestine, Large / surgery
Leg / blood supply*
Middle Aged
Postoperative Complications* / prevention & control
Prospective Studies
Regional Blood Flow

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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