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Compartment syndrome papers

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7 papers 0 to 25 followers
L Sermeus, S Boeckx, H Camerlynck, J Somville, M Vercauteren
Opinions diverge as to whether or not regional anaesthesia delays the diagnosis of evolving acute compartment syndrome. Withholding regional anaesthesia from patients with painful orthopaedic injuries may be ethically unacceptable, however. In this report, we describe a case of acute compartment syndrome in a 4-year old child who underwent resection of a forearm osteochondroma. Analgesia was satisfactory during the first post-operative night, but the child later complained of pain despite an effective infra-clavicular block...
2015: Acta Anaesthesiologica Belgica
Tomas J Kucera, André P Boezaart
OBJECTIVE: Ischemic pain is complex and poorly understood. There is controversy regarding whether or not regional anesthetic techniques block ischemic pain. We present two further cases where regional anesthesia did not block ischemic pain despite adequate motor and sensory block. CASE REPORT 1: A 29-year-old healthy male underwent elective right lateral ankle ligament reconstruction for ankle instability with single-injection femoral and sciatic nerve blocks as the sole anesthetic...
February 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
José A Aguirre, Daniela Gresch, Annemarie Popovici, Jost Bernhard, Alain Borgeat
No abstract text is available yet for this article.
May 2013: Anesthesiology
Benjamin J Walker, Kenneth J Noonan, Adrian T Bosenberg
Compartment syndrome is a potentially devastating complication of many orthopedic surgeries. Whether regional anesthesia can delay the diagnosis of compartment syndrome remains a subject of debate. Previous case reports have described compartment syndrome primarily in the setting of an epidural infusion, but also following single-injection peripheral nerve blocks. A case of evolving compartment syndrome in an ambulatory setting that was not masked by a continuous peripheral nerve block is presented, followed by a discussion of the literature pertaining specifically to peripheral nerve blockade and the diagnosis of compartment syndrome...
July 2012: Regional Anesthesia and Pain Medicine
M Anthony Cometa, Andrea T Esch, André P Boezaart
OBJECTIVE: We report a case of acute lower extremity compartment syndrome that was diagnosed despite continuous regional analgesia with 0.2% ropivacaine via femoral and sciatic nerve catheters. SETTING: Academic tertiary care center. STUDY DESIGN: Report of a clinical case. SUMMARY: A 15-year-old boy with adolescent Blount's disease underwent elective distal femur and proximal tibia osteotomy with external fixation and stabilization of his right leg...
May 2011: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Stephen Mannion, Xavier Capdevila
No abstract text is available yet for this article.
2010: International Anesthesiology Clinics
Steven A Olson, Robert R Glasgow
Acute compartment syndrome is a potentially devastating condition in which the pressure within an osseofascial compartment rises to a level that decreases the perfusion gradient across tissue capillary beds, leading to cellular anoxia, muscle ischemia, and death. A variety of injuries and medical conditions may initiate acute compartment syndrome, including fractures, contusions, bleeding disorders, burns, trauma, postischemic swelling, and gunshot wounds. Diagnosis is primarily clinical, supplemented by compartment pressure measurements...
November 2005: Journal of the American Academy of Orthopaedic Surgeons
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