Document Detail


Compartment syndrome after intraosseous infusion: an experimental study in dogs.
MedLine Citation:
PMID:  8943107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An experimental study was designed to investigate the development of compartment syndrome with the use of an intraosseous line in dogs. We used an open technique for insertion of a 20-gauge spinal needle to the tibia. The needle was secured to the tibia with bone cement. Throughout the intraosseous infusion of saline with radio-opaque dye (rate, 480 mL/h), serial radiographic examination and pressure monitoring of the anterolateral compartment of the leg was performed. Although there was no change up to approximately 350 mL of fluid infusion, the radio-opaque dye was detected in the soft tissues and compartment pressure increased to more than 35 mm Hg. Compartment pressure continued to increase in direct proportion to the amount of dye infused. In the present study, the possible technical errors, which may cause compartment syndrome, have been eliminated. However, compartment syndrome developed because of the failure of microvasculature within a muscle adjacent to bone. We suggest that there is a need for a dose-and time-dependent scale for safe intraosseous infusion.
Authors:
I Günal; N Köse; D Gürer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  31     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-03-20     Completed Date:  1997-03-20     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1491-3     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, School of Medicine, Osmangazi University, Eskişehir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Animals
Compartment Syndromes / etiology*,  radiography
Disease Models, Animal
Dogs
Hydrostatic Pressure
Infusions, Intraosseous / adverse effects*,  methods
Microcirculation
Muscle, Skeletal / blood supply
Tibia* / blood supply
Time Factors

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


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