Differences in attitudes to analgesia in post-operative limb surgery put patients at risk of compartment syndrome
Missed compartment syndrome may result in severe disability. Complete masking of pain, the cardinal symptom of compartment syndrome, may contribute to delayed or missed diagnosis. Scenarios reported in the literature as cases of delayed or missed compartment syndrome (due to analgesia) were included...
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| Veröffentlicht in: | Injury 2004-03, Vol.35 (3), p.290-295 |
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| creator | Thonse, Raghuram Ashford, Robert U Williams, T.Ian R Harrington, Paul |
| description | Missed compartment syndrome may result in severe disability. Complete masking of pain, the cardinal symptom of compartment syndrome, may contribute to delayed or missed diagnosis.
Scenarios reported in the literature as cases of delayed or missed compartment syndrome (due to analgesia) were included in a questionnaire. Each of the respondents was requested to indicate the preferred choice of post-operative analgesia for each scenario.
Significant differences were found between orthopaedic surgeons and anaesthetists regarding the preferred choice of post-operative analgesia in clinical situations which have been previously shown to be associated with a high risk of compartment syndrome.
Use of analgesic methods which impair the ability to detect patients with abnormal levels of pain or unusual demands for analgesia may place such patients at risk of the devastating sequelae of a missed compartment syndrome. The differences in attitudes to local and regional nerve blockade between orthopaedic surgeons and anaesthetists suggests that some anaesthetists may be exposing patients to the risk of missed compartment syndrome following extremity surgery. |
| doi_str_mv | 10.1016/S0020-1383(03)00072-X |
| format | Article |
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Scenarios reported in the literature as cases of delayed or missed compartment syndrome (due to analgesia) were included in a questionnaire. Each of the respondents was requested to indicate the preferred choice of post-operative analgesia for each scenario.
Significant differences were found between orthopaedic surgeons and anaesthetists regarding the preferred choice of post-operative analgesia in clinical situations which have been previously shown to be associated with a high risk of compartment syndrome.
Use of analgesic methods which impair the ability to detect patients with abnormal levels of pain or unusual demands for analgesia may place such patients at risk of the devastating sequelae of a missed compartment syndrome. The differences in attitudes to local and regional nerve blockade between orthopaedic surgeons and anaesthetists suggests that some anaesthetists may be exposing patients to the risk of missed compartment syndrome following extremity surgery.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/S0020-1383(03)00072-X</identifier><identifier>PMID: 15124798</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Analgesia - adverse effects ; Analgesia - psychology ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Attitude of Health Personnel ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Clinical Competence ; Compartment Syndromes - diagnosis ; Compartment Syndromes - etiology ; Diagnostic Errors ; Diseases of the osteoarticular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Health Knowledge, Attitudes, Practice ; Humans ; Medical sciences ; Medical Staff, Hospital - standards ; Pain, Postoperative - prevention & control ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Professional Practice ; Risk Factors ; Surveys and Questionnaires ; Traumas. Diseases due to physical agents</subject><ispartof>Injury, 2004-03, Vol.35 (3), p.290-295</ispartof><rights>2003 Elsevier Science Ltd</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-9d2119a49ad08763a582a95435746078e23e267b37788ba49f33d97a9d39973c3</citedby><cites>FETCH-LOGICAL-c391t-9d2119a49ad08763a582a95435746078e23e267b37788ba49f33d97a9d39973c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S002013830300072X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15496839$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15124798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thonse, Raghuram</creatorcontrib><creatorcontrib>Ashford, Robert U</creatorcontrib><creatorcontrib>Williams, T.Ian R</creatorcontrib><creatorcontrib>Harrington, Paul</creatorcontrib><title>Differences in attitudes to analgesia in post-operative limb surgery put patients at risk of compartment syndrome</title><title>Injury</title><addtitle>Injury</addtitle><description>Missed compartment syndrome may result in severe disability. Complete masking of pain, the cardinal symptom of compartment syndrome, may contribute to delayed or missed diagnosis.
Scenarios reported in the literature as cases of delayed or missed compartment syndrome (due to analgesia) were included in a questionnaire. Each of the respondents was requested to indicate the preferred choice of post-operative analgesia for each scenario.
Significant differences were found between orthopaedic surgeons and anaesthetists regarding the preferred choice of post-operative analgesia in clinical situations which have been previously shown to be associated with a high risk of compartment syndrome.
Use of analgesic methods which impair the ability to detect patients with abnormal levels of pain or unusual demands for analgesia may place such patients at risk of the devastating sequelae of a missed compartment syndrome. The differences in attitudes to local and regional nerve blockade between orthopaedic surgeons and anaesthetists suggests that some anaesthetists may be exposing patients to the risk of missed compartment syndrome following extremity surgery.</description><subject>Analgesia - adverse effects</subject><subject>Analgesia - psychology</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Clinical Competence</subject><subject>Compartment Syndromes - diagnosis</subject><subject>Compartment Syndromes - etiology</subject><subject>Diagnostic Errors</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medical Staff, Hospital - standards</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Professional Practice</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9rHSEQgCW0JK9p_4QULw3tYVtdd1c9hZD-hEAOaSE38elssN1dN44beP993b5H2ltBEGe-GZ1PQs44e88Z7z7cMlazigsl3jLxjjEm6-ruiGy4krpidSefkc0TckJeIP5kjEsmxDE54S2vG6nVhjx8DH0PCSYHSMNEbc4hL74ccqR2ssM9YLBrZo6YqzhDsjk8Ah3CuKW4pHtIOzovmc4lDlPG0oKmgL9o7KmL42xTHkuc4m7yKY7wkjzv7YDw6rCfkh-fP32_-lpd33z5dnV5XTmhea60rznXttHWMyU7YVtVW902opVNx6SCWkCZciukVGpbuF4Ir6XVXmgthROn5Hzfd07xYQHMZgzoYBjsBHFBI7kuQrgqYLsHXYqICXozpzDatDOcmdW1-eParCINK2t1be5K3evDBct2BP-36iC3AG8OgEVnhz7ZyQX8h2t0p4Qu3MWeg6LjMUAy6ML6Iz4kcNn4GP7zlN8CLpwN</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>Thonse, Raghuram</creator><creator>Ashford, Robert U</creator><creator>Williams, T.Ian R</creator><creator>Harrington, Paul</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040301</creationdate><title>Differences in attitudes to analgesia in post-operative limb surgery put patients at risk of compartment syndrome</title><author>Thonse, Raghuram ; Ashford, Robert U ; Williams, T.Ian R ; Harrington, Paul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-9d2119a49ad08763a582a95435746078e23e267b37788ba49f33d97a9d39973c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Analgesia - adverse effects</topic><topic>Analgesia - psychology</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Clinical Competence</topic><topic>Compartment Syndromes - diagnosis</topic><topic>Compartment Syndromes - etiology</topic><topic>Diagnostic Errors</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Medical Staff, Hospital - standards</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Professional Practice</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thonse, Raghuram</creatorcontrib><creatorcontrib>Ashford, Robert U</creatorcontrib><creatorcontrib>Williams, T.Ian R</creatorcontrib><creatorcontrib>Harrington, Paul</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thonse, Raghuram</au><au>Ashford, Robert U</au><au>Williams, T.Ian R</au><au>Harrington, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in attitudes to analgesia in post-operative limb surgery put patients at risk of compartment syndrome</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>35</volume><issue>3</issue><spage>290</spage><epage>295</epage><pages>290-295</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>Missed compartment syndrome may result in severe disability. Complete masking of pain, the cardinal symptom of compartment syndrome, may contribute to delayed or missed diagnosis.
Scenarios reported in the literature as cases of delayed or missed compartment syndrome (due to analgesia) were included in a questionnaire. Each of the respondents was requested to indicate the preferred choice of post-operative analgesia for each scenario.
Significant differences were found between orthopaedic surgeons and anaesthetists regarding the preferred choice of post-operative analgesia in clinical situations which have been previously shown to be associated with a high risk of compartment syndrome.
Use of analgesic methods which impair the ability to detect patients with abnormal levels of pain or unusual demands for analgesia may place such patients at risk of the devastating sequelae of a missed compartment syndrome. The differences in attitudes to local and regional nerve blockade between orthopaedic surgeons and anaesthetists suggests that some anaesthetists may be exposing patients to the risk of missed compartment syndrome following extremity surgery.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>15124798</pmid><doi>10.1016/S0020-1383(03)00072-X</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Analgesia - adverse effects Analgesia - psychology Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Attitude of Health Personnel Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Clinical Competence Compartment Syndromes - diagnosis Compartment Syndromes - etiology Diagnostic Errors Diseases of the osteoarticular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Health Knowledge, Attitudes, Practice Humans Medical sciences Medical Staff, Hospital - standards Pain, Postoperative - prevention & control Postoperative Complications - diagnosis Postoperative Complications - etiology Professional Practice Risk Factors Surveys and Questionnaires Traumas. Diseases due to physical agents |
| title | Differences in attitudes to analgesia in post-operative limb surgery put patients at risk of compartment syndrome |
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