1/12. Delayed antivenom treatment for a patient after envenomation by crotalus atrox.Bites by the Western diamondback rattlesnake (crotalus atrox) are the most common cause of envenomation in texas. We describe a patient who had delayed administration of antivenom after envenomation by C atrox. Because of an initial adverse response to a test dose, the patient had been unwilling to receive antivenom therapy. When compartment syndrome developed 52 hours after envenomation, however, the patient consented to antivenom therapy as an alternative to fasciotomy. We documented a decrease in compartment pressures and resolution of thrombocytopenia that was concomitant with antivenom administration.- - - - - - - - - - ranking = 1keywords = administration (Clic here for more details about this article) |
2/12. A tale of two syndromes: ovarian hyperstimulation and abdominal compartment.Abdominal compartment syndrome complicated severe ovarian hyperstimulation in a 35 year old woman with multiple bowel resections due to Crohn's disease. pain from ovarian enlargement necessitated hospital admission. Despite intravenous fluid administration and heparin prophylaxis, ilio-femoral deep vein thrombosis developed. Treatment by intravenous heparin was complicated by repeated intra-ovarian bleeding, anaemia and acute renal failure requiring haemodialysis. Intra-abdominal pressures were elevated. After placement of an inferior vena caval filter and discontinuation of heparin, there was slow spontaneous recovery without surgery.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
3/12. Compartment syndrome, rhabdomyolysis and risk of acute renal failure as complications of the lithotomy position.Compartment syndrome, rhabdomyolysis and the risk of acute renal failure are potential complications of the lithotomy position. A six-year-old girl is described who developed a compartment syndrome with rhabdomyolysis after prolonged surgery in the lithotomy position. This complication occurred three times over ten years in our hospital. rhabdomyolysis may induce acute renal failure. The pathogenesis of rhabdomyolysis--induced renal failure has not yet been elucidated. However, forced diuresis by intravenous administration of mannitol and furosemide can prevent acute renal failure.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
4/12. forearm compartment syndrome from intravenous mannitol extravasation during general anesthesia.IMPLICATIONS: Complications of IV mannitol administration resulting in compartment syndrome may warrant surgical intervention. Compartment syndrome is difficult to diagnose in the anesthetized patient. Infusing mannitol in an observed IV site permits discontinuation of mannitol before complications ensue. Early recognition and surgical intervention averted potential impairment in our patient.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
5/12. Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures.Western diamondback rattlesnake envenomation is usually managed by administration of neutralizing antivenom. The development of compartment syndrome is a rare complication that has sparked considerable debate regarding medical vs. surgical management. We report a case of compartment syndrome resulting from a rattlesnake envenomation, which responded to large doses of neutralizing antivenom given concomitantly with mannitol and hyperbaric oxygen. This regimen obviated the need for surgical fasciotomy and its associated morbidity.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
6/12. Does patient controlled analgesia delay the diagnosis of compartment syndrome following intramedullary nailing of the tibia?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.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
7/12. rhabdomyolysis and compartment syndrome with coadministration of risperidone and simvastatin.We report a case of rhabdomyolysis and acute compartment syndrome of the lower extremity in a schizophrenic patient taking risperidone following the addition of simvastatin to treat hyperlipidemia. We suspect that disrupted drug metabolism, resulting from interactions with cytochrome P450 enzymes, rapidly elevated drug plasma levels, which then led to muscle toxicity. Clinicians who pharmacologically treat medical comorbidities in patients receiving atypical antipsychotics must be proactive in anticipating potential drug-drug interactions.- - - - - - - - - - ranking = 2keywords = administration (Clic here for more details about this article) |
8/12. Case report: compartment syndrome after a suspected black widow spider bite.Widow spider envenomations generally produce systemic neurologic syndromes without significant local injury. We report a patient who sustained a black widow spider bite to the left forearm and presented to the emergency department with rhabdomyolysis and compartment syndrome. We documented a decrease in symptoms and compartment pressure after administration of antivenom. No surgical intervention was performed. We believe this report to be the first documenting compartment syndrome associated with black widow spider bite.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
9/12. plasma exchange after revascularization compartment syndrome with acute toxic nephropathy caused by rhabdomyolysis.A 75-year-old man developed acute, fulminating compartment syndrome of the femoral and crural muscles together with acute toxic nephropathy caused by severe myoglobinemia after uncomplicated embolectomy of the common femoral artery. In addition to fasciotomies and administration of mannitol, sodium hydrogen bicarbonate, and furosemide, we performed plasma exchanges on three occasions. The urine and serum concentrations of myoglobin fell from above 180.0 and 50.0 mg/dl, respectively, to 0.14 and 0.11 mg/dl after the third plasma exchange on the ninth day after admission. The serum creatinine concentration was normal on admission, peaked at 2.85 mg/dl, and returned to normal values at discharge. We suggest that plasma exchange may be considered an adjunct to conventional therapy of compartment syndrome with associated acute toxic nephropathy caused by myoglobinemia.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
10/12. Compartment syndrome resulting from intravenous regional anesthesia.Three cases of iatrogenic compartment syndrome of the upper extremity are reported. Each was the result of the use of hypertonic saline solution in the administration of intravenous regional anesthesia. Two patients were left with residual problems after resolution of the compartment syndrome despite early surgical intervention in one of these cases. This mechanism may explain other previously reported occurrences of severe swelling in an extremity after intravenous regional anesthesia.- - - - - - - - - - ranking = 0.5keywords = administration (Clic here for more details about this article) |
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