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A Unique Treatment for Compartment Syndrome After Intravenous Catheter Extravasation: A Case Report
Amie L Hoefnagel1, Tia N Timmermann1, Andrew Riga2
1From the Departments of Anesthesiology.
A&A Practice
|June 29, 2021
Summary
Severe IV extravasation can cause compartment syndrome. This case study shows compression therapy with an Esmarch dressing effectively treated hand compartment syndrome, avoiding fasciotomies.
Area of Science:
- Anesthesiology
- Emergency Medicine
- Surgical Complications
Background:
- Intravenous cannulation is a routine procedure for most patients undergoing anesthesia.
- Infiltration and extravasation are known complications of intravenous cannulation.
- These complications can lead to varied patient outcomes.
Observation:
- A severe case of intravenous (IV) extravasation occurred, leading to compartment syndrome in the hand.
- The standard treatment for compartment syndrome involves fasciotomies.
- In this case, an alternative approach was employed.
Findings:
- Compression therapy using an Esmarch surgical dressing, applied distal to proximal, was utilized.
- This method resulted in a significant reduction in swelling.
- Perfusion to the affected hand was restored.
Implications:
- This suggests that compression therapy may be a viable alternative to fasciotomies for treating IV extravasation-induced compartment syndrome.
- This approach could potentially reduce surgical morbidity associated with fasciotomies.
- Further research is warranted to validate this novel treatment strategy.
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