医学
骨科手术
急性疼痛
麻醉
舱室(船)
临床实习
缺血
重症监护医学
筋膜间隔综合征
外科
物理疗法
内科学
海洋学
地质学
作者
Tim Dwyer,David J. Burns,Aaron Nauth,Kaitlin Kawam,Richard Brull
出处
期刊:Regional Anesthesia and Pain Medicine
[BMJ]
日期:2021-06-28
卷期号:46 (12): 1091-1099
被引量:10
标识
DOI:10.1136/rapm-2021-102735
摘要
Acute compartment syndrome (ACS) is a potentially reversible orthopedic surgical emergency leading to tissue ischemia and ultimately cell death. Diagnosis of ACS can be challenging, as neither clinical symptoms nor signs are sufficiently sensitive. The cardinal symptom associated with ACS is pain reported in excess of what would otherwise be expected for the underlying injury, and not reasonably managed by opioid-based analgesia. Regional anesthesia (RA) techniques are traditionally discouraged in clinical settings where the development of ACS is a concern as sensory and motor nerve blockade may mask symptoms and signs of ACS. This Education article addresses the most common trauma and elective orthopedic surgical procedures in adults with a view towards assessing their respective risk of ACS and offering suggestions regarding the suitability of RA for each type of surgery.
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