Abstract:
:A hemiplegic patient with severe upper extremity spasticity 2 years after a cerebrovascular accident received a diagnostic median nerve block below the elbow with bupivacaine. He had been placed on Coumadin as prophylaxis for cerebrovascular arteriosclerotic disease, and prothrombin time was kept at twice the control value. Less than 48 hours after the procedure, a compartment syndrome developed in the volar forearm. Compartment syndrome has not previously been reported as a complication resulting from a nerve block procedure. We conclude that (1) compartment syndrome may develop after a peripheral nerve block procedure for spasticity, (2) prophylactic anticoagulation may increase the risk for hemorrhagic events resulting from percutaneous injection and (3) early recognition is essential and appropriate decompressive fasciotomy may be indicated if a compartment syndrome develops after a nerve block procedure.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Parziale JR,Marino AR,Herndon JHdoi
10.1097/00002060-198804000-00009subject
Has Abstractpub_date
1988-04-01 00:00:00pages
82-4issue
2eissn
0894-9115issn
1537-7385journal_volume
67pub_type
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2015-06-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,meta分析
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更新日期:2007-04-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2014-10-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2007-09-01 00:00:00
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更新日期:2010-06-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200011000-00005
更新日期:2000-11-01 00:00:00
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更新日期:2017-07-01 00:00:00
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更新日期:2003-08-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2008-12-01 00:00:00
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更新日期:2009-01-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:1991-12-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200107000-00011
更新日期:2001-07-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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doi:10.1097/00002060-199509001-00007
更新日期:1995-09-01 00:00:00
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更新日期:2002-08-01 00:00:00
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更新日期:2011-06-01 00:00:00
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更新日期:2020-12-03 00:00:00
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更新日期:2009-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2008-05-01 00:00:00
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更新日期:2018-02-01 00:00:00
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更新日期:2002-03-01 00:00:00
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更新日期:2019-02-01 00:00:00
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更新日期:2008-11-01 00:00:00