Background class='Para'>Fasciotomy for compartment syndrome is an emergent procedure that is usually done in the operating theater under general anesthesia. Delay in performing t'/> Bedside fasciotomy under local anesthesia for acute compartment syndrome: a feasible and reliable procedure in selected cases
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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Bedside fasciotomy under local anesthesia for acute compartment syndrome: a feasible and reliable procedure in selected cases
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Bedside fasciotomy under local anesthesia for acute compartment syndrome: a feasible and reliable procedure in selected cases

机译：局麻下床旁筋膜切开术治疗急性室综合征：在某些情况下可行且可靠的程序

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class="Heading">Background class="Para">Fasciotomy for compartment syndrome is an emergent procedure that is usually done in the operating theater under general anesthesia. Delay in performing the procedure can lead to worse outcome. Various reasons can cause delay in performing the surgery. Bedside fasciotomy under local anesthesia can be done in these cases to avoid delay in compartment release. class="Heading">Materials and methods class="Para">This was a retrospective study of 34 cases of acute compartment syndrome for which fasciotomy was done at the bedside under local anesthesia. The minimum follow-up period was 6?months. class="Heading">Results class="Para">All patients had immediate and marked improvement in pain. Thirty-three patients regained their normal muscle strength. Thirty-two patients regained normal range of motion of adjacent joints. One patient developed flexion contracture of the great toe. There was no deep infection, chronic osteomyelitis, or amputation. Superficial wound infection was noted in three patients; one patient had persistent foot drop. class="Heading">Conclusion class="Para">Bedside fasciotomy under local anesthesia is a feasible, safe, and effective choice for treating compartment syndrome in patients with delayed presentation or those with anticipated delay to undergo surgery in the operating theater under general or regional anesthesia. The results of this study are encouraging, as all wounds healed satisfactory and there were no cases of deep infections. The formal release of compartments in the operating room under general anesthesia continues to be the standard of care. This is the first description in the literature for bedside fasciotomy under local anesthesia with a relatively large number of patients.
机译：class =“ Heading”>背景 class =“ Para”>隔室综合征的筋膜切开术是一种紧急手术，通常在手术室中在全身麻醉下进行。延迟执行程序可能导致更糟的结果。各种原因会导致手术延迟。在这种情况下，可以在局部麻醉下进行床旁筋膜切开术，以避免间隔释放延迟。 class =“ Heading”>材料和方法 class =“ Para”>这是一项回顾性研究。 34例在局部麻醉下在床边进行筋膜切开术的急性室综合征的病例。最小随访期为6个月。 class =“ Heading”>结果 class =“ Para”>所有患者的疼痛均得到明显改善。 33例患者恢复了正常的肌肉力量。 32例患者恢复了相邻关节的正常运动范围。一名患者大脚趾屈曲挛缩。没有深层感染，慢性骨髓炎或截肢。 3例患者出现浅表伤口感染。一名患者持续脚下垂。 class =“ Heading”>结论 class =“ Para”>局部麻醉下的床旁筋膜切开术是一种治疗房室综合征的可行，安全且有效的选择表现延迟或预期延迟的患者在全身或区域麻醉下在手术室接受手术。这项研究的结果令人鼓舞，因为所有伤口均愈合良好，没有深层感染病例。在全身麻醉下在手术室中正式释放隔室仍然是护理的标准。这是文献中对局部麻醉下床旁筋膜切开术的首次描述，患者数量相对较多。

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