Thenar Compartment Syndrome Related to Tightened Radial Arterial Line During Robotic Laparoscopic Surgery: A Case Report.

IF 0.5

A&A Practice Pub Date : 2022-12-01 DOI:10.1213/XAA.0000000000001642

Sung Ho Moon, Daeseok Oh, Myoung Jin Ko, Ji Yeon Kwon, Young Gyun Choi, Sun Young Kim, Sehun Lim

引用次数: 0

Abstract

We present a 54-year-old man who developed an unexpected thenar space compartment syndrome after robotic laparoscopic surgery, which was caused when the radial arterial pressure tubing was pulled too tightly around the base of the thumb while changing the surgical position. A conventional method of securing the tubing by looping it around the thumb appeared to be the primary cause. This complication went unnoticed during the surgery because the arm was tucked out of sight; there were no remarkable findings on monitoring. This case highlights the risks of looping tubing around the thumb, especially if continual inspection is not possible.

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机器人腹腔镜手术中与桡动脉线收紧相关的鱼际间室综合征1例报告。

我们报告了一位54岁的男性，他在机器人腹腔镜手术后出现了意想不到的大鱼际间隙综合征，这是由于在改变手术体位时桡动脉压力管在拇指底部拉得太紧而引起的。一种传统的将管子绕在拇指上固定的方法似乎是主要原因。这个并发症在手术中没有被注意到，因为手臂被藏在视线之外;在监测方面没有显著的发现。这种情况下突出了环管在拇指周围的风险，特别是如果不可能持续检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.