Document Detail


Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia -A case report-.
MedLine Citation:
PMID:  21359085     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Chi Yun Sung; Rack Kyung Chung; Yoon Suk Ra; Hee Seung Lee; Guie Yong Lee
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Publication Detail:
Type:  Journal Article     Date:  2011-01-28
Journal Detail:
Title:  Korean journal of anesthesiology     Volume:  60     ISSN:  2005-7563     ISO Abbreviation:  Korean J Anesthesiol     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-03-01     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101502451     Medline TA:  Korean J Anesthesiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  -    
Affiliation:
Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
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