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Compartment syndrome diagnosed in due time by breakthrough pain despite continuous peripheral nerve block
Author(s) -
MUNKANDERSEN H.,
LAUSTRUP T. K.
Publication year - 2013
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12187
Subject(s) - medicine , compartment (ship) , peripheral , ropivacaine , complication , compartment syndromes , anesthesia , forearm , surgery , peripheral nerve , nerve block , complex regional pain syndrome , anatomy , oceanography , analgesic , geology
We here present a paediatric case with development of acute compartment syndrome in the lower leg secondary to a tibial shaft fracture. The patient was diagnosed in time because of breakthrough pain, despite a well‐functioning continuous peripheral nerve block with ropivacaine infusion. Compartment syndrome is a potentially devastating complication to trauma, typically fractures of the tibial shaft and the forearm because of the relatively tight facias and small volume of these compartments.