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Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia - A case report

Title
Impending compartment syndrome of the forearm and hand after a pressurized infusion in a patient under general anesthesia - A case report
Authors
Sung C.Y.Chung R.K.Ra Y.S.Lee H.S.Lee G.Y.
Ewha Authors
이귀용정락경이희승
SCOPUS Author ID
이귀용scopus; 정락경scopus; 이희승scopus
Issue Date
2011
Journal Title
Korean Journal of Anesthesiology
ISSN
2005-6419JCR Link
Citation
vol. 60, no. 1, pp. 60 - 63
Indexed
SCOPUS; KCI scopus
Abstract
A 74-year-old woman underwent posterior lumbar decompressive fusion at L4-5 for treating spondylolisthesis, with the patient under general anesthesia and she was in the prone position. Following attempts to transfuse blood using a pressurized bag, the intravenous infusion site of the left hand along with the noninvasive blood pressure cuff was changed. Swelling and several bullae on the left forearm and hand were visible. Removal of intravenous catheter, hyaluronidase injection, wet dressing were subsequently performed. In postanesthesia recovery unit, the patient did not complain of pain, and the radial pulse and oxygen saturation of the left appeared normal. Three days after the incident, the edema on the patient's forearm and hand subsided, and the patient was discharged without any complications two weeks afterwards. Impending compartment syndrome should be given close attention, and particularly when performing pressurized infusion in patients who are unable to express pain because they are under general anesthesia. Copyright © the Korean Society of Anesthesiologists, 2011.
DOI
10.4097/kjae.2011.60.1.60
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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