| 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 |
Related Documents
:
|
2762367 - Elevation of thromboxane in pressure wounds. 7624417 - Evaluation of a pressure sore model using monoplegic pigs. 8168317 - An in vitro study of femoral intramedullary pressures during hip replacement using mode... 15778477 - Ulceration of pyoderma gangrenosum treated with negative pressure wound therapy. 2539937 - Time course and nature of postprandial haemodynamic changes in normal man. 22572747 - Meteorologic conditions and respiratory syncytial virus activity. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Laparoscopic surgery for adolescent varicocele: preliminary report on 80 patients.
Next Document: Gastroesophageal reflux: a determinant in the outcome of caustic esophageal burns.