scholarly journals Necrotizing Fasciitis Causing Acute Compartment Syndrome after Radial Artery Catheterization

2020 ◽  
Author(s):  
Filipa Cabral Amado ◽  
Carlos Noversa ◽  
Andreia Moura ◽  
Luís Carvalho ◽  
Leila Cardoso
Keyword(s):  
Necrotizing Fasciitis ◽  
Compartment Syndrome ◽  
Subcutaneous Tissue ◽  
Cardiopulmonary Arrest ◽  
Acute Compartment Syndrome ◽  
Aseptic Technique ◽  
Radial Artery Catheterization ◽  
Muscle Compartment ◽  
And Function ◽  
Obstructive Pyelonephritis

Necrotizing fasciitis is a rare but potentially fatal infection involving the subcutaneous tissue and fascia with the development of necrosis of these structures. Acute compartment syndrome occurs when increased pressure within a closed muscle compartment compromises the circulation and function of the tissues within that space. We report the case of a male patient who was admitted to the intensive care unit for the management of urosepsis due to an acute obstructive pyelonephritis complicated by cardiopulmonary arrest. A radial arterial catheter in the left arm was urgently inserted, under suboptimal aseptic technique. His clinical condition progressively deteriorated, and swelling of the left arm with extension to the forearm with incipient signs of compromised perfusion were observed. The diagnosis of necrotizing fasciitis with acute compartment syndrome was made and an emergency fasciectomy performed. Following this, the patient gradually improved, organ dysfunction resolved, and he was discharged without sequelae.

scholarly journals Acute Compartment Syndrome of the Limbs: Current Concepts and Management

2012 ◽  
Vol 6 (1) ◽  
pp. 535-543 ◽  
Author(s):  
Nigel Tapiwa Mabvuure ◽  
Marco Malahias ◽  
Sandip Hindocha ◽  
Wasim Khan ◽  
Ali Juma
Keyword(s):  
Compartment Syndrome ◽  
Clinical Features ◽  
Current Knowledge ◽  
Diagnostic Procedures ◽  
Adverse Outcomes ◽  
Acute Compartment Syndrome ◽  
Clinical Anatomy ◽  
Intracompartmental Pressure ◽  
Life Threatening ◽  
Muscle Compartment

Acute compartment syndrome (ACS) of the limb refers to a constellation of symptoms, which occur following a rise in the pressure inside a limb muscle compartment. A failure or delay in recognising ACS almost invariably results in adverse outcomes for patients. Unrecognised ACS can leave patients with nonviable limbs requiring amputation and can also be life–threatening. Several clinical features indicate ACS. Where diagnosis is unclear there are several techniques for measuring intracompartmental pressure described in this review. As early diagnosis and fasciotomy are known to be the best determinants of good outcomes, it is important that surgeons are aware of the features that make this diagnosis likely. This clinical review discusses current knowledge on the relevant clinical anatomy, aetiology, pathophysiology, risk factors, clinical features, diagnostic procedures and management of an acute presentation of compartment syndrome.

Acute Compartment Syndrome of the Thigh in Combat Casualties

2013 ◽  
Vol 22 (01) ◽  
pp. 42-49 ◽  
Author(s):  
Brendan D. Masini ◽  
Adam W. Racusin ◽  
Joseph C. Wenke ◽  
Tad L. Gerlinger ◽  
Joseph R. Hsu
Keyword(s):  
Compartment Syndrome ◽  
Acute Compartment Syndrome ◽  
Combat Casualties

scholarly journals Does the shoe-lace technique aid direct closure of fasciotomy wounds after acute compartment syndrome of the lower leg? a retrospective case-control study

2021 ◽  
pp. 145749692110196
Author(s):  
P. Suomalainen ◽  
T.-K. Pakarinen ◽  
I. Pajamäki ◽  
M. K. Laitinen ◽  
H.-J. Laine ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Lower Leg ◽  
Conventional Technique ◽  
Tibia Fracture ◽  
Acute Compartment Syndrome ◽  
Retrospective Case ◽  
Direct Closure ◽  
Patient Database

Background & aim: Tibia fractures are relatively common injuries that are accompanied with acute compartment syndrome in approximately 2% to 20% of cases. Although the shoe-lace technique, where vessel loops are threaded in a crisscross fashion and tightened daily, has been widely used, no studies have compared the shoe-lace technique with the conventional one. The aim of this study was to compare the shoe-lace technique with the conventional technique. Materials and Methods: We identified 359 consecutive patients with intramedullary nailed tibia fracture and complete medical records including outpatient data between April 2007 and April 2015 from electronic patient database of our institute. The use of the shoe-lace technique was compared to conventional one (in which wounds were first left open with moist dressings). Main outcome measurement is direct closure of fasciotomy wounds. Results: From 359 consecutive patients with intramedullary nailed tibia fracture, fasciotomy was performed on 68 (19%) patients. Of these, the shoe-lace technique was used in 47 (69%) patients while in 21 (31%) patients, the shoe-lace technique was not applied. Side-to-side approximation was successful in 36 patients (77%) in the shoe-lace+ group and 7 patients (33%) in the shoe-lace– group (p = 0.002). Conclusion: The main finding of our comparative study was that the shoe-lace technique seems to ease direct closure of lower leg fasciotomy wounds, and thus reduces the frequency of free skin grafts. Our finding needs to be confirmed in a high-quality randomized controlled trial.

Acute Compartment Syndrome After Knee Synovectomy in a Patient with Hemophilia A

2019 ◽  
Vol 9 (3) ◽  
pp. e0402-e0402
Author(s):  
Soroush Baghdadi ◽  
Taghi Baghdadi ◽  
Mohammad Ayati Firoozabadi ◽  
Gholamreza Toogeh ◽  
S.M. Javad Mortazavi
Keyword(s):  
Compartment Syndrome ◽  
Hemophilia A ◽  
Acute Compartment Syndrome

Mannitol Treatment for Acute Compartment Syndrome

Nephron ◽  
1998 ◽  
Vol 79 (4) ◽  
pp. 492-493 ◽  
Author(s):  
Maya Daniels ◽  
James Reichman ◽  
Mayer Brezis
Keyword(s):  
Compartment Syndrome ◽  
Acute Compartment Syndrome
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