Forearm compartment syndrome from intravenous mannitol extravasation during general anesthesia.
Complications of IV mannitol administration resulting in compartment syndrome may warrant surgical intervention. Compartment syndrome is difficult to diagnose in the anesthetized patient. Infusing mannitol in an observed IV site permits discontinuation of mannitol before complications ensue. Early recognition and surgical intervention averted potential impairment in our patient.
Edwards
Johnathan J
JJ
Department of Anesthesiology, University of South Florida College of Medicine, Tampa 33612, USA. jjedwards@pol.net
Samuels
David
D
Fu
Eugene S
ES
D000768:Anesthesia, General; D003161:Compartment Syndromes / Q000209:etiology* / Q000503:physiopathology; D004234:Diuretics, Osmotic / Q000009:adverse effects*; D004487:Edema / Q000209:etiology; D005260:Female; D005542:Forearm / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery; D008353:Mannitol / Q000009:adverse effects*; D008875:Middle Aged; D012039:Regional Blood Flow / Q000187:drug effects
D004234:Diuretics, Osmotic; D008353:Mannitol