RT Book, Section
A1 Sala-Blanch, Xavier
A1 de Andrés, Jose A
A1 Dewaele, Steven
A2 Hadzic, Admir
SR Print(0)
ID 1141736477
T1 Acute Compartment Syndrome of the Limb: Implications for Regional Anesthesia
T2 Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071717595
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1141736477
RD 2024/04/19
AB Compartment  syndrome  is  an  orthopedic  emergency.  It  is  an  acute  condition  of  the  limbs  in  which  the  pressure  of  isolated  or  groups  of  poorly  compliant  muscle  compartments  increases  dramatically  and  limits  local  soft  tissue  perfusion  to  the  point  of  motor  and  sensory  impairment  and  neuronal  and  tissue  ischemic  necrosis.  Although  regional  anesthesia  is  often  thought  to  delay  diagnosis  and  treatment  of  acute  compartment  syndrome  (ACS),  there  are  only  isolated  case  reports  and  a  lack  of  evidence-based  information  to  guide  the  clinical  practice.  Regardless,  practitioners  should  be  aware  of  the  patient  risk  factors,  clinical  presentation,  and  management  of  this  potentially  limb-threatening  condition.  The  musculoskeletal  structures  of  the  limbs  are  enclosed  within  compartments  created  by  investing  fascial  layers  with  a  limited  ability  to  stretch.  These  compartments  enclose  skeletal  muscles  along  with  the  neurovascular  structures  that  pass  through  the  compartments.  If  missed,  compartment  syndrome1  can  be  a  limb-  and  life-threatening  condition.