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Forearm compartment syndrome from intravenous mannitol extravasation during general anesthesia
Johnathan J Edwards1, David Samuels, Eugene S Fu
1Department of Anesthesiology, University of South Florida College of Medicine, Tampa 33612, USA. jjedwards@pol.net
Anesthesia and Analgesia
|December 31, 2002
Summary
Compartment syndrome from IV mannitol can require surgery. Monitoring the IV site allows early mannitol discontinuation, preventing severe complications and potential impairment.
Area of Science:
- Neurosurgery
- Critical Care Medicine
- Pharmacology
Background:
- Intravenous (IV) mannitol is commonly used for reducing intracranial pressure.
- Potential complications include compartment syndrome, a surgical emergency.
- Diagnosing compartment syndrome in anesthetized patients presents significant challenges.
Observation:
- A case study highlighting the risks associated with IV mannitol administration.
- Focus on the development of compartment syndrome as a critical adverse event.
- Importance of vigilant monitoring of infusion sites.
Findings:
- Compartment syndrome, a complication of IV mannitol, may necessitate surgical intervention.
- The diagnosis of compartment syndrome is notably difficult in anesthetized patients.
- Continuous observation of the IV infusion site is crucial.
Implications:
- Prompt discontinuation of mannitol at an observed IV site can prevent complications.
- Early recognition and timely surgical intervention are key to averting patient impairment.
- This case underscores the need for careful patient monitoring during mannitol therapy.