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Related Experiment Videos

Secondary extremity compartment syndrome.

Lorraine N Tremblay1, David V Feliciano, Grace S Rozycki

  • 1Department of Surgery, Grady Memorial Hospital, Atlanta, GA 30303, USA.

The Journal of Trauma
|November 19, 2002
PubMed
Summary
This summary is machine-generated.

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Secondary extremity compartment syndrome (SECS) is a rare but serious complication following fluid resuscitation in trauma patients. Early recognition and compartment pressure measurement are crucial for managing this condition and improving patient outcomes.

Area of Science:

  • Trauma Surgery
  • Critical Care Medicine
  • Surgical Complications

Background:

  • Abdominal compartment syndrome is a known risk after fluid resuscitation in trauma patients.
  • Secondary extremity compartment syndrome (SECS) can occur in uninjured limbs following resuscitation for unrelated injuries.

Purpose of the Study:

  • To describe the incidence, characteristics, and outcomes of SECS in trauma patients.
  • To highlight the association between SECS and systemic inflammatory response syndrome.

Main Methods:

  • Retrospective chart review of trauma patients.
  • Inclusion criteria: development of SECS post-resuscitation.
  • Data collection included patient demographics, injury severity, and outcomes.

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Main Results:

  • 10 patients developed SECS from 11,996 trauma admissions (1996-2001).
  • Affected extremities averaged 3.1 per patient, including 10 upper and 12 lower limbs without apparent injury.
  • Mortality rate in patients with SECS was 70%.

Conclusions:

  • SECS is a rare complication linked to postresuscitation systemic inflammatory response syndrome.
  • SECS is associated with high morbidity and mortality, potentially serving as a mortality marker.
  • Measurement of compartment pressures is recommended for patients with severe edema post-resuscitation.