Rattlesnake Envenomation and Compartment Syndrome: A Case Study

10.5580/49e ◽  
2011 ◽  
Vol 11 (1) ◽  
Keyword(s):  
Compartment Syndrome

scholarly journals Case Study: Acute Lumbar Paraspinal Compartment Syndrome in an Austere Military Environment

2020 ◽  
Author(s):  
Pete Allen ◽  
Jackson Pugh ◽  
Alexander Blau
Keyword(s):  
Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Limited Resources ◽  
Paraspinal Muscles ◽  
Medical Department ◽  
Wound Therapy ◽  
Lower Back ◽  
Lumbar Paraspinal Muscles

ABSTRACT The incidence of compartment syndrome of the lumbar paraspinal muscles is exceedingly rare. Approximately 24 hours following a high-intensity kettlebell swing workout, a 33-year-old Sailor presented to the medical department on board a forward deployed Wasp-class amphibious assault ship with increasing discomfort in his middle and lower back, and evidence of rhabdomyolysis. Discomfort quickly turned to unrelenting pain coupled with dorsal paresthesias and rigidity in the paraspinal muscles. He was taken emergently to the operating room, where his paraspinal muscles were released via fasciotomy. As a result of limited resources aboard the deployed ship, a negative pressure wound dressing was fashioned using the supplies available aboard the ship. Following 3 days of the negative pressure wound therapy, muscle bulging decreased substantially, and the skin was closed. After 4 weeks of physical therapy, he returned to full duty.

Evaluation of Strength Recovery after Traumatic Acute Compartment Syndrome of the Thigh. A Case Study

2017 ◽  
Vol 19 (4) ◽  
pp. 0-0
Author(s):  
Alban Fouasson-Chailloux ◽  
Pierre Menu ◽  
Marc Dauty
Keyword(s):  
Compartment Syndrome ◽  
Acute Compartment Syndrome ◽  
Intramuscular Pressure ◽  
Rehabilitation Care ◽  
Fracture Reduction And Fixation ◽  
Strength Recovery ◽  
Prompt Diagnosis

Acute compartment syndrome of the thigh is an underestimated serious pathology which can cause long term morbidities. The management, recovery and follow-up of the case of a 20-year-old Caucasian man, who presented an acute compartment syndrome of the thigh, are described. After femoral fracture reduction and fixation by nail, intramuscular pressure measurements confirmed the diagnosis before treatment by fasciotomies. 12-months’ follow-up showed the presence of neurological femoral complications and physical impairment in spite of rehabilitation care. Because compartment syndrome of the thigh after a trauma is rare but potentially devastating, prompt diagnosis is required for performing early fasciotomies.

scholarly journals Extravasation injury leading to acute compartment syndrome in a child: The vital role of pulse oximetry in early detection and management

2018 ◽  
Vol 28 (4) ◽  
pp. 95-98 ◽  
Author(s):  
Daniel Rodger ◽  
Jacinda Hammerschlag
Keyword(s):  
Early Detection ◽  
Compartment Syndrome ◽  
Patient Outcomes ◽  
Vital Role ◽  
Acute Compartment Syndrome ◽  
Case Study Approach ◽  
Study Approach ◽  
Vascular Compromise

Acute compartment syndrome as a result of an extravasation injury is rare. The perioperative environment presents a unique risk that may contribute to more serious patient outcomes. Using a case study approach we report that the placement of a pulse oximeter on the cannulated limb can provide the first sign of vascular compromise.

scholarly journals A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection

2013 ◽  
Vol 1 (2) ◽  
pp. 91-93
Author(s):  
Dawnielle C. Endly ◽  
Joan V. Eggert
Keyword(s):  
Reperfusion Injury ◽  
Compartment Syndrome ◽  
Hyperbaric Oxygen ◽  
Ischemia Reperfusion Injury ◽  
Ischemia Reperfusion ◽  
Secondary Infection ◽  
Tissue Loss ◽  
Ascending Infection ◽  
Initial Injury

Background: Fasciotomies are a therapeutic treatment for compartment syndrome, but they also allow reperfusion to tissues that have been hypoxic. We report a case study of a 52-year-old male with an ischemic leg. Despite prophylactic fasciotomies, ischemia-reperfusion injury resulted in delayed myonecrosis and progressive necrotizing fasciitis. Results: After two hyperbaric oxygen treatments, edema was markedly reduced and all visible wound tissues were well perfused without evidence of ascending infection, allowing the patient more time for further evaluation. The patient did opt for an above the knee amputation in a non-emergent setting and now successfully utilizes a prosthesis for ambulation. Conclusion: Ischemia-reperfusion injury may result in delayed tissue loss in spite of appropriate fascioto­mies. Hyperbaric oxygen may be a useful adjunct therapy even when initiated days after the initial injury.

scholarly journals A Clinical Case Study of Residual Symptoms after Decompression of Traumatic Compartment Syndrome

2015 ◽  
Vol 32 (3) ◽  
pp. 197-202
Author(s):  
Min Jung Ji ◽  
Seong Chul Lim ◽  
Jae Soo Kim ◽  
Hyun Jong Lee ◽  
Yun Kyu Lee
Keyword(s):  
Compartment Syndrome ◽  
Clinical Case ◽  
Residual Symptoms ◽  
Clinical Case Study

Sonographic Clues in Suspicion of Compartment Syndrome in a Lower Extremities Venous Study: A Case Study

2021 ◽  
pp. 875647932110059
Author(s):  
Cassey Y. Noh
Keyword(s):  
Compartment Syndrome ◽  
Incidental Finding ◽  
Lower Extremities ◽  
The Body ◽  
Excessive Pressure ◽  
Saphenous Veins ◽  
Evaluation Strategies ◽  
Pseudo Aneurysm ◽  
The Right

Compartment syndrome occurs when excessive pressure builds up inside an enclosed muscle space in the body. The dangerously high pressure in compartment syndrome impedes the flow of blood to and from the affected tissues. It can be an emergency, requiring surgery to prevent a permanent injury. In this case study, a lower extremities venous examination was performed on a male patient suspected of having compartment syndrome, as an incidental finding. Sonographic evaluation of the right leg revealed the absence of popliteal and small saphenous veins, and acute thrombus in the posterior tibial veins. The evaluation further revealed an incidental finding of double pseudo-aneurysm in the popliteal fossa, which was suspected for increasing the excessive compartmental pressure. This unique case study presents sonographical evaluation strategies when compartment syndrome is suspected.

Releasing Burn-Induced Compartment Syndrome by Enzymatic Escharotomy-Debridement: A Case Study

2020 ◽  
Vol 41 (5) ◽  
pp. 1097-1103
Author(s):  
Ilaria Mataro ◽  
Anna Lanza ◽  
Sveva Di Franco ◽  
Livia Di Franco ◽  
Mariella Sangiuolo ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Care Center ◽  
Invasive Procedure ◽  
Post Injury ◽  
Excessive Pressure ◽  
Safe Method ◽  
Potential Risks ◽  
Acute Condition ◽  
Compartmental Pressure

Abstract Burn-induced compartment syndrome represents a serious and acute condition in deep circumferential burns of the extremities which, if left untreated, can cause severe complications. The surgical escharotomy that releases the high subdermal pressure is the therapeutic treatment of choice for burn-induced compartment syndrome. Guidelines for escharotomy indications and timing include pressure greater than 30 mm Hg and 6 Ps (Pain, Pallor, Paresthesia, Paralysis, Pulseless, and Poikilothermia). Nevertheless, despite the need for an early as possible pressure release, escharotomy is often delayed when a capable surgeon is not available, or if the indication is not completely clear to justify potential risks associated with surgical escharotomy. Early treatment of circumferential burns of the extremities with a Bromelain-based enzymatic agent NexoBrid® may represent a less traumatic and invasive procedure to reduce intra-compartmental pressure, replacing surgical escharotomy. This case study of 23 patients describes the variation of compartmental pressure in patients with circumferential burns of the extremities treated with NexoBrid® enzymatic escharotomy-debridement. All the patients were treated with NexoBrid® within 2 to 22 hours post-injury in our Burn Intensive Care Center. The excessive pressure recorded before treatment returned to normal below 30 mm Hg and an approximately 60% reduction of the compartmental pressure was observed in most cases within 1 hour from NXB application. On NexoBrid® removal after 4 hours complete debridement-escharotomy of the burns was achieved. Enzymatic escharotomy-debridement appears to be a useful and safe method to reduce postburn compartmental pressure. Additional randomized, well-controlled powered studies are needed to further support these results.

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