Does Patient Controlled Analgesia Delay the Diagnosis of Compartment Syndrome Following Intramedullary Nailing of the Tibia?

Overview

Journal Injury

Publisher Elsevier

Specialty Emergency Medicine

Date 2004 May 6

PMID 15124799

Citations 8

Authors

H Richards

A Langston

R Kulkarni

E M Downes

Affiliations

Soon will be listed here.

Abstract

We report on four cases in which the diagnosis of compartment syndrome was delayed by the administration of patient controlled analgesia (PCA) following intramedullary nailing of tibial shaft fractures. We believe that this poses a diagnostic problem and can lead to lasting sequelae as decompression is delayed. We recommend extra vigilance with the use of PCA in patients with intramedullary nailing following tibial shaft fractures.

Citing Articles

Compartment Syndrome following Intramedullary Nail Fixation in Closed Tibial Shaft Fractures.

Chng E, Satkunanantham M, Kang Y, Sechachalam S Malays Orthop J. 2023; 17(2):28-34.

PMID: 37583522 PMC: 10425000. DOI: 10.5704/MOJ.2307.005.

Pain Control with Regional Anesthesia in Patients at Risk of Acute Compartment Syndrome: Review of the Literature and Editorial View.

Lam D, Pierson D, Salaria O, Wardhan R, Li J J Pain Res. 2023; 16:635-648.

PMID: 36891457 PMC: 9987529. DOI: 10.2147/JPR.S397428.

Coping With the Fear of Compartment Syndrome Without Compromising Analgesia: A Narrative Review.

Sonawane K, Dhamotharan P, Dixit H, Gurumoorthi P Cureus. 2022; 14(10):e30776.

PMID: 36447735 PMC: 9701138. DOI: 10.7759/cureus.30776.

Resolving the Conflict Between Regional Analgesia and Developing Compartment Syndrome in Below-Knee Surgeries With the High-Volume Proximal Adductor Canal (Hi-PAC) Block: A Prospective Feasibility Study.

Sonawane K, Shah A, Balavenkatasubramanian J Cureus. 2022; 14(4):e23898.

PMID: 35530866 PMC: 9076042. DOI: 10.7759/cureus.23898.

Is It Compartment Syndrome? Two Case Reports and Literature Review.

Aleisawi H, Alsager G, Pasha A, Alyousif H, Alsarhan H, Surur S Cureus. 2021; 13(10):e19083.

PMID: 34824949 PMC: 8610431. DOI: 10.7759/cureus.19083.