RT Book, Section
A1 Sala-Blanch, Xavier
A1 De Andrés, José
A1 Barron, Alton
A1 Hobeika, Paul
A1 Cohen, Adam
A1 Somasundaram, Lakshmanasamy
A2 Hadzic, Admir
SR Print(0)
ID 3507113
T1 Chapter 60. Acute Compartment Syndrome of the Limb: Implications for Regional
                                                                Anesthesia
T2 NYSORA Textbook of Regional Anesthesia and Acute Pain Management
YR 2007
FD 2007
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071449069
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3507113
RD 2024/04/18
AB Compartment  syndrome  is  an  orthopedic  emergency.  It  is  an  acute  condition  of  the  limbs  in  which  the  pressure  of  isolated  or  groups  of  compartments  increases  dramatically  and  limits  local  soft  tissue  perfusion  to  the  point  of  ischemic  necrosis.  Regional  anesthesia  may  mask  the  signs  and  symptoms  of  compartment  syndrome,  so  practitioners  should  be  alert  to  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,  inelastic  sheets  of  fascia  that  have  a  limited  ability  to  expand.  These  compartments  contain  skeletal  muscles  that  form  the  bulk  of  their  contents,  along  with  the  neurovascular  structures  that  pass  through  the  compartment.  If  missed,  compartment  syndrome1  can  be  a  life-  and  limb-threatening  condition.