title: Elastic tourniquet technique for decompression of extremity compartment syndrome.
abstract: Compartment syndrome of the extremities is usually associated with direct trauma and often requires surgical fasciotomy to avert potential complications and morbidity. We present a case of upper extremity compartment syndrome resulting from pressurized infusion of autologous whole blood, in which fasciotomy was avoided by the application of a simple and effective technique using an elastic Esmarch bandage. Guidelines for surgical fasciotomy and the hazards associated with pressurized infusion of fluids in the anesthetized patient are discussed.
authors.affiliation: Department of Anesthesia, University of Texas Health Science Center at San Antionio, San Antonio, TX 78229-3900, USA. shahj@uthscsa.edu
authors.forename: Jaydeep S
authors.initials: JS
authors.lastname: Shah
authors.forename: Damon
authors.initials: D
authors.lastname: Anagnos
authors.forename: Edward A
authors.initials: EA
authors.lastname: Norfleet
mesh_terms: D001458:Bandages; D002404:Catheterization / Q000009:adverse effects*; D003161:Compartment Syndromes / Q000628:therapy*; D003664:Decompression / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014111:Tourniquets; D034941:Upper Extremity / Q000098:blood supply*