| KLUČKA, Jozef, Petr ŠTOURAČ, Alena ŠTOURAČOVÁ, Michal MAŠEK and Martin REPKO. Compartment Syndrome and Regional Anaesthesia: Critical Review. Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic. Olomouc: Palacký University, 2017, vol. 161, No 3, p. 242-251. ISSN 1213-8118. Available from: https://dx.doi.org/10.5507/bp.2017.025. |
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@article{1391594,
author = {Klučka, Jozef and Štourač, Petr and Štouračová, Alena and Mašek, Michal and Repko, Martin},
article_location = {Olomouc},
article_number = {3},
doi = {http://dx.doi.org/10.5507/bp.2017.025},
keywords = {compartment syndrome; regional anaesthesia; peripheral nerve block; blockade},
language = {eng},
issn = {1213-8118},
journal = {Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic},
title = {Compartment Syndrome and Regional Anaesthesia: Critical Review},
volume = {161},
year = {2017}
}
TY - JOUR
ID - 1391594
AU - Klučka, Jozef - Štourač, Petr - Štouračová, Alena - Mašek, Michal - Repko, Martin
PY - 2017
TI - Compartment Syndrome and Regional Anaesthesia: Critical Review
JF - Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic
VL - 161
IS - 3
SP - 242-251
EP - 242-251
PB - Palacký University
SN - 12138118
KW - compartment syndrome
KW - regional anaesthesia
KW - peripheral nerve block
KW - blockade
N2 - Acute compartment syndrome (ACS) is a potential orthopaedic/traumatology emergency. Without prompt, precise diagnosis and immediate treatment with surgical decompressive fasciotomy it can lead to neurological dysfunction and disability. The role of regional anaesthesia (RA) in patients at risk for ACS/ and in those with developed ACS is controversial. The aim of this critical review was to answer the question, whether regional anaesthesia can delay the diagnosis. The authors use an evidence-based approach to discuss these high risk patients in considering RA as a method of choice for effective analgesia. To the date of data collection, there was no single case report identified where RA alone led to delay in ACS diagnosis and surgical treatment. In four clinical cases, epidural analgesia can be associated with delayed ACS diagnosis. Frequent clinical evaluation and breakthrough pain despite a functional RA in combination with intracompartment pressure measurement remains the keystone of recommended management for patients at risk of ACS.
ER -
KLUČKA, Jozef, Petr ŠTOURAČ, Alena ŠTOURAČOVÁ, Michal MAŠEK and Martin REPKO. Compartment Syndrome and Regional Anaesthesia: Critical Review. \textit{Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic}. Olomouc: Palacký University, 2017, vol.~161, No~3, p.~242-251. ISSN~1213-8118. Available from: https://dx.doi.org/10.5507/bp.2017.025.
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