From the Departments of Anesthesiology.
Orthopedic Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
A A Pract. 2021 Jun 28;15(7):e01496. doi: 10.1213/XAA.0000000000001496.
Intravenous cannulation is performed on nearly every patient presenting for an anesthetic. Complications of the procedure include infiltration and extravasation, which can have a varied impact on the patient. Here, we present a case of severe intravenous (IV) extravasation, resulting in compartment syndrome of the hand. Rather than treating the compartment syndrome with fasciotomies as is standard, we utilized compression therapy via an Esmarch surgical dressing wrapped distal to proximal on the effected limb, which resulted in marked decrease in swelling and return of perfusion to the hand.
几乎每个接受麻醉的患者都需要进行静脉插管。该操作的并发症包括浸润和外渗,这可能对患者造成不同的影响。在这里,我们报告了一例严重的静脉(IV)外渗,导致手部间隔综合征。我们没有像标准治疗那样通过筋膜切开术来治疗间隔综合征,而是使用 Esmarch 手术敷料从受影响的肢体远端向近端包裹,从而显著减少了肿胀,并恢复了手部的灌注。