Compartment Syndrome among Orthopedic Patient: Nurse’ Roles in Assessment and Prevention

Authors

  • อนุชา ไทยวงษ์ วิทยาลัยพยาบาลศรีมหาสารคาม
  • กัญญาพัชร เบ้าทอง วิทยาลัยพยาบาลศรีมหาสารคาม
  • ทัตภณ พละไชย วิทยาลัยพยาบาลบรมราชชนนี สรรพสิทธิประสงค์ จังหวัดอุบลราชธานี
  • ฉัตรชัย แป้งหอม โรงพยาบาลอู่ทอง จังหวัดสุพรรณบุรี
  • จุฑามาศ นุชพูล โรงพยาบาลอู่ทอง จังหวัดสุพรรณบุรี

Keywords:

Compartment syndrome, Nursing, Assessment, Prevention

Abstract

Compartment syndrome is one of major emergencies in orthopedic patients that is required to be immediately treated. Increased intramuscular pressure impedes local muscle blood flow and capillary flow thereby impairing neuromuscular function of tissues, causing tissue death, organ loss, nerve function impairment, disability, and even death in severe cases. Compartment syndrome directly and indirectly affects both patients and their family members. Nurse is part of a multidisciplinary team requiring knowledge and skills to assess the function of the nerves and blood vessels, conduct continuous monitoring and surveillance, prepare effective plan to management and prevent Compartment syndrome in order to reduce potential complications and losses.

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References

1. Pechar J, Lyons MM. Acute compartment syndrome of the lower leg: a review. J Nurse Pract. 2016; 12(4):265-70.

2. Wongsaree C, SriparatJ. Nurse’s role in basic medical and continuing care for patients got bitten by snakes.Christian University of Thailand Journal.2018;24(3):467-78. (in Thai)

3. Raza H, Mahapatra A. Acute compartment syndrome in orthopedics: causes, diagnosis, and management. Adv Orthop 2015. 2015:doi: 10.1155/2015/543412

4. Schmidt AH. Acute compartment syndrome. Orthop Clin N AM. 2016;47(3):517–25.

5. Via AG, Oliva F, Spoliti M, Maffulli N. Acute compartment syndrome. Muscles, Ligaments and Tendons J. 2015;5(1):18-22.

6. Walls MH. Compartment syndrome: an orthopedic emergency. J Emerg Nurs. 2017;43(4):303-7.

7. Malik AA, Khan WSA, Chaudhry A, Ihsan M, Cullen NP. Acute compartment syndrome-a life and limb threatening surgical emergency. Journal of perioperative practice. 2009;19(5):137-42.

8. Shadgan B, Menon M, Sanders D, Berry G, Martin JrC, Duffy P, et al., Current thinking about acute compartment syndrome of the lower extremity. Can J Surg. 2010;53(5):329-34.

9. Tiptirapong W. Nursing care in close comminuted fracture of the leg with acute compartment syndrome: case study. Region 4 Medical Journal. 2015;17(3):237-44. (in Thai)

10. Shadgan B, Pereira G, Menon M, Jafari S, Darlene RW, O’Brien PJ. Risk factors for acute compartment syndrome of the leg associated with tibial diaphyseal fractures in adults. J Orthop Traumatol. 2015;16(3): 185–92.

11. Pechar J, Lyons MM. Acute compartment syndrome of the lower leg: a review. J Nurse Pract. 2016;12(4):265-70.

12. Donaldson J, Haddad B, Khan WS. The pathophysiology, diagnosis and current management of acute compartment syndrome. Open Orthop J. 2014;8:185-93.

13. Frink M, Hildebrand F, Krettek C, Brand J, Hankemeier S. Compartment syndrome of the lower leg and foot. Clin Orthop Relat Res. 2010;468(4):940–50.

14. Chayasit Y, Piboonrungroj P. Compartment syndrome: concept and nursing practice. Journal of Nursing Division 2012;39(3):65-74. (in Thai)

15. Von Keudell AG, Weaver MJ, Appleton PT, Bae DS, Dyer GS, Heng M, et al. Diagnosis and treatment of acute extremity compartment syndrome.
Lancet 2015;308:1299-310.

16. Wall CJ, Lynch J, Harris IA, Richardson MD, Brand C, Lowe AJ, et al. Clinical practice guidelines for the management of acute limb compartment syndrome following trauma. ANZ J Surg. 2010;80(3):151-6.

17. Mabvuure NT, Malahias M, Hindocha S, Khan W, Juma A. Acute compartment syndrome of the limbs: current concepts and management. Open Orthop J. 2012;6(Supply 3: M7):535-43.

18. Kanlic EM, Pinski SE, Verwiebe EG, Saller J, Smith WR. Acute morbidity and complications of thigh compartment syndrome: a report of 26 cases. Patient Safety in Surgery. 2010;4:13.

19. Schmidt AH. The impact of compartment syndrome on hospital length of stay and charges among adult patients admitted with a fracture of the tibia. J Orthop Trauma. 2011;25(6):355-67.

20. Crespo AM, Manoli A, Konda SR, Egol KA. Development of compartment syndrome negatively impacts length of stay and cost after tibia fracture. J Orthop Trauma. 2015;29 (7):312-5.

21. Giannoudis PV, Nicolopoulos C, Dinopoulos H, Ng A, Adedapo S, Kind P. The impact of lower leg compartment syndrome on health related quality of life. Injury. 2002;33(2):117-21.

22. Lollo L, Grabinsky A. Clinical and functional outcomes of acute lower extremity compartment syndrome at a Major Trauma Hospital. Int J Crit Illn Inj Sci. 2016;6(3):133-42.

23. Schreiber ML. Neurovascular assessment: an essential nursing focus. Medsurg Nurs. 2016;25(1):55-7.

24. Schmidt AH. Acute compartment syndrome. Injury 2017;48(Suppl1):S22-S25.

25. Hayakawa H, Aldington DJ, Moore RA. Acute traumatic compartment syndrome: a systematic review of results of fasciotomy. Trauma 2009;11:5-35.

26. Wongprach B, Poomsanguan K. Innovation development of the army nurse condom ring for male patient with applying a drainage condom. Journal of The Royal Thai Army Nurses 2018;19(1):56-65. (in Thai)

27. Taiwong A, Saraphok W, Boonmas N, Bunsuk P. Developing evidence-based nursing innovations for supporting and promoting necessary self-care for colostomy patients. Journal of The Royal Thai Army Nurses 2018;19 (suppl):41-9. (in Thai)

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Published

03-01-2019

How to Cite

1.
ไทยวงษ์ อ, เบ้าทอง ก, พละไชย ท, แป้งหอม ฉ, นุชพูล จ. Compartment Syndrome among Orthopedic Patient: Nurse’ Roles in Assessment and Prevention. J Royal Thai Army Nurses [Internet]. 2019 Jan. 3 [cited 2024 Dec. 19];19:17-24. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/164555