Development of Compartment Syndrome after Radial Artery Puncture in a Patient with Acute Hypoxemic Respiratory Failure due to COVID-19

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
O. Garner, K. Nunna, A. Braun
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引用次数: 2

Abstract

A 71-year-old man who was recently hospitalized for COVID-19 pneumonia complicated by acute hypoxemic respiratory failure and severe ARDS requiring noninvasive ventilation was transferred to our hospital from a rehabilitation facility for new onset right wrist and hand pain and swelling which had been attributed to arterial thrombosis and empirically treated with therapeutic anticoagulation. He developed numbness and paralysis in his right hand and was diagnosed with right forearm compartment syndrome requiring emergent fasciotomy. After a prolonged hospital stay complicated by respiratory failure requiring mechanical ventilation, he was discharged with improved, but not resolved, sensorimotor deficits. Arterial blood gas sampling is commonly performed in patients with acute hypoxemic respiratory failure, for assessment of oxygenation and acid-base status. It is considered a benign procedure, but it can lead to serious complications, such as bleeding and compartment syndrome. Risks and benefits of any procedure need to be weighed carefully and less is often more. Compartment syndrome is characterized by the 5 P's—pain, pallor, paresthesia, pulselessness, and paralysis.
1例新冠肺炎所致急性低氧性呼吸衰竭患者桡动脉穿刺后间室综合征的发生
1例71岁男性近期因COVID-19肺炎合并急性低氧性呼吸衰竭和严重ARDS住院,需要无创通气,因新发右腕和手部疼痛和肿胀,归因于动脉血栓形成,经经验性抗凝治疗,从康复机构转至我院。他的右手出现麻木和麻痹,并被诊断为右前臂筋膜室综合征,需要紧急切开筋膜。在长时间住院并伴有呼吸衰竭需要机械通气后,他出院时感觉运动缺陷有所改善,但没有解决。动脉血气取样通常在急性低氧性呼吸衰竭患者中进行,以评估氧合和酸碱状态。它被认为是一种良性手术,但它会导致严重的并发症,如出血和筋膜室综合征。任何手术的风险和益处都需要仔细权衡,少即是多。室间室综合征的特征是5p -疼痛、苍白、感觉异常、无脉和麻痹。
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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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