Immediate haemodialysis and staged fasciotomy in the treatment of reperfusion injury.
A 67-year-old man was admitted with traumatic arterial occlusion in his leg 24 h after an accident. A double-lumen catheter was inserted into the left iliac vein, after revascularization, and haemodialysis started using a new membrane dialyser to remove myoglobin effectively. Intramuscular pressure of the limb was measured and, when it was 35 mmHg, staged fasciotomy was performed. A modification of the procedure used to prevent myonephropathic metabolic syndrome and compartment syndrome is described.
Urayama
H
H
Department of Surgery (I), Kanazawa University School of Medicine, Japan.
Harada
T
T
Kawasuji
M
M
Watanabe
Y
Y
D000368:Aged; D000071938:Fasciotomy; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008722:Methods; D009211:Myoglobin / Q000097:blood; D006435:Renal Dialysis; D015427:Reperfusion Injury / Q000628:therapy*
D009211:Myoglobin