Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth?

Soulioti, Eleftheria; Pertsikapa, Marianthi; Fyntanidou, Barbara; Limnaios, Pantelis; Sidiropoulou, Tatiana

doi:10.3390/medicina60081279

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Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth?

by

Eleftheria Soulioti

¹

,

Marianthi Pertsikapa

²,

Barbara Fyntanidou

²,

Pantelis Limnaios

¹ and

Tatiana Sidiropoulou

^1,*

¹

Second Department of Anesthesiology, Attikon University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece

²

Department of Emergency Medicine, AHEPA University Hospital, 54636 Thessaloniki, Greece

^*

Author to whom correspondence should be addressed.

Medicina 2024, 60(8), 1279; https://doi.org/10.3390/medicina60081279

Submission received: 6 July 2024 / Revised: 20 July 2024 / Accepted: 30 July 2024 / Published: 8 August 2024

(This article belongs to the Collection Pain, Bleeding, Trauma and Infections: The 4 Horsemen of the Apocalypse for the Emergency Medicine)

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Abstract

Trauma patients in the emergency department experience severe pain that is not always easy to manage. The risk of acute compartment syndrome further complicates the analgesic approach. The purpose of this review is to discuss relevant bibliography and highlight current guidelines and recommendations for the safe practice of peripheral nerve blocks in this special group of patients. According to the recent bibliography, peripheral nerve blocks are not contraindicated in patients at risk of acute compartment syndrome, as long as there is surveillance and certain recommendations are followed.

Keywords: acute compartment syndrome; pain management; peripheral nerve blocks; trauma patient

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MDPI and ACS Style

Soulioti, E.; Pertsikapa, M.; Fyntanidou, B.; Limnaios, P.; Sidiropoulou, T. Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth? Medicina 2024, 60, 1279. https://doi.org/10.3390/medicina60081279

AMA Style

Soulioti E, Pertsikapa M, Fyntanidou B, Limnaios P, Sidiropoulou T. Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth? Medicina. 2024; 60(8):1279. https://doi.org/10.3390/medicina60081279

Chicago/Turabian Style

Soulioti, Eleftheria, Marianthi Pertsikapa, Barbara Fyntanidou, Pantelis Limnaios, and Tatiana Sidiropoulou. 2024. "Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth?" Medicina 60, no. 8: 1279. https://doi.org/10.3390/medicina60081279

APA Style

Soulioti, E., Pertsikapa, M., Fyntanidou, B., Limnaios, P., & Sidiropoulou, T. (2024). Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth? Medicina, 60(8), 1279. https://doi.org/10.3390/medicina60081279

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Trauma Patients and Acute Compartment Syndrome: Is There an Ariadne’s Thread That Can Safely Guide the Anesthesiologist/Emergency Physician Out of the Labyrinth?

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