Compartment Syndrome related to surgical positioning: a silent enemy
Keywords:
Compartment syndromes, Patient positioning, lntraoperative period, Nursing.Abstract
Objective: To relate the development of Compartment Syndrome with surgical positioning, from the discussion of the pathophysiology, presentation of risk positions and prevention, control and intervention mechanisms. Method: Systematic review of articies found by search in the Virtual Health Library and PubMed databases. lesults: Surgicai positioning isreiated to the development of compartment syndrome mostly because of the impairment of blood flow tocertain areas. The identification of signs and symptomsis usually performed by nurses and can influencethe outcome if eariy intervention is implemented.Conclusion: By having focus on care and providingdirect assistance to patients during intraoperativeperiod, in the post-anaesthetic recuperation unit andafter the return to the ward, nursing plays important role especially in the early recognition, contributing to the prevention and reduction of complications resulting from Compartment Syndrome.References
Wilde S. Compartment syndrome: the silentdanger related to patient positioning and surgery. BrJ Perioper Nurs. 2004;14(12):546-54.
Heizenroth PA. Posicionamento do paciente paracirurgia. In: Rothrock JC. Alexander: cuidados deenfermagem ao paciente cirúrgico. 13a ed. Rio deJaneiro: Elsevier; 2007. p.130-57.
Silveira CT. A assistência da equipe de enfermagemno posicionamento cirúrgico do paciente durante operíodo intra-operatório [dissertação]. São Paulo:Escola de Enfermagem, Universidade de São Paulo;2008.
Lopes CMM. Posicionamento cirúrgico: evidênciaspara o cuidado de enfermagem [dissertação]Ribeirão Preto: Escola de Enfermagem de RibeirãoPreto, Universidade de São Paulo; 2009.
Dua RS, Bankes MJK, Dowd GSE, Lewis AAMCompartment syndrome following pelvic surgery inthe lithotomy position. Ann R ColI Surg Engi, 2002;84(3)-170-1.
Mubarak SJ, Hargens AR. Síndromes compartimen-tais agudas. Surg Clin North Am. 1983;63(3):539-65.
Tucker KR. Compartment syndrome: the orthopaedicnurse's vital role. J Orthopaedic Nurs. 1998;2(1):33-6.
Pitta GBB, Santos CAS, Braga FA. Fasciotomiasde extremidades. In: Pitta GBB, Castro AA, Burihan E,editores. Angiologia e cirurgia vascular: guia ilustrado.Maceió: UNCISAL/ECMAL & LAVA; 2003. p.1-10.
Turnbull D, MilIs GH. Compartment syndromeassocíated with the Lloyd Davies position: three casereports and review of the literature. Anaesthesia2001; 56(10):980-7.
Bongiovanni MS, Bradley SL, Kelley DMOrthopedic trauma: critica[ care nursing issues. CritCare Nurs Q. 2005;28(1):60-71.
Perron AD, Brady WJ, Keats TE. Orthopedicpitfalls in the ED: acute compartment syndrome. AmJ Emerg Med. 2001;19(5):413-6.
Harvey C. Compartment syndrome: when it isleast expected. Orthop Nurs. 2001 ;20(3):15-23.
Heyn J, Ladurner R, OzimekA, Vogel T, HallfeldtKK, Mussack T. Gluteal compartment syndrome afterprostatectomy caused by incorrect positioning. Eur JMed Res. 2006;11(4):170-3.
Atamer O, Langer O, Rominger M. Compressionphenomenon of the popliteal veins by bilateralcompartment syndromes after many hours of surgeryin lithotomy position. Vasa 1 996;25(3):295-8.
Seybold EA, Busconi BID. Anterior thigh com-partment syndrome following prolonged tourniquetapplication and lateral positioning. Am J Orthop.1 996;25(7):493-6.
Lampert R, Weih EH, Breucking E, Kirchhoff 5,Lazica B, Lang K. Postoperative bilateral compartmentsyndrome resulting from prolonged urological surgeryin lithotomy position. Serum creatine kinase activity(CK) as a warning signal in sedated, artificiallyrespirated patients. Anaesthesist. 1995-44(1):43-7.
Tuckey J. Bilateral compartment syndromecomplicating prolonged lithotomy position. Br JAnaesth. 1996;77(4):546-9.
Meldrum R, Lipscomb P. Compartment syndromeof the leg after less than 4 hours of elevation on afracture table. South Med J. 2002;95(2):269-71.
Gupta R, Batra 5, Chandra R, Sharma VK.Compartment syndrome with acute renal failure: arare complication of spinal surgery in knee-chestposition. Spine. 2008;33(8):272-3.
Kumar V, Saeed K, Panagopoulos A, ParkerPJ. Gluteal compartment syndrome following jointarthroplasty under epidural anaesthesia: a report of4 cases. J Orthop Surg. 2007;15(1):113-7.
Yu Y, Chen W, Chen L, Chen W. lschemic orbitalcompartment syndrome after posterior spinal surgery.Spine. 2008;33(16):569-72.
Lachiewicz PF, Latimer HA. Rhabdomyolysisfollowing total hip arthroplasty. J Bone Joint Surg Br.1991;73(4):576-9.
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.