Acute Extremity Compartment Syndrome and (Regional): Anesthesia: The Monster Under the Bed.
Anesthesiol Clin
; 40(3): 491-509, 2022 Sep.
Article
in En
| MEDLINE
| ID: mdl-36049877
ABSTRACT
Acute compartment syndrome (ACS) is a potential orthopedic emergency that leads, without prompt diagnosis and immediate treatment with surgical fasciotomy, to permanent disability. The role of regional anesthesia (RA) for analgesia in patients at risk for ACS remains unjustifiably controversial. This critical review aims to improve the perception of the published literature to answer the question, whether RA techniques actually delay or may even help to hasten the diagnosis of ACS. According to literature, peripheral RA alone does not delay ACS diagnosis and surgical treatment. Only in 4 clinical cases, epidural analgesia was associated with delayed ACS diagnosis.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Compartment Syndromes
/
Anesthesia, Conduction
Type of study:
Diagnostic_studies
Language:
En
Journal:
Anesthesiol Clin
Year:
2022
Type:
Article