Extravasation results in compartment syndrome
Intravenous cannulation is performed on nearly every patient presenting for an anesthetic. Complications of the procedure include infiltration and extravasation, which can have a varied impact on the patient. Here, we present a case of severe intravenous (IV) extravasation, resulting in compartment syndrome of the hand. Rather than treating the compartment syndrome with fasciotomies as is standard, we utilized compression therapy via an Esmarch surgical dressing wrapped distal to proximal on the effected limb, which resulted in marked decrease in swelling and return of perfusion to the hand.
Hoefnagel AL, Timmermann TN, Riga A, Kaye MB, Braunecker S, Mongan PD. A Unique Treatment for Compartment Syndrome After Intravenous Catheter Extravasation: A Case Report. A A Pract. 2021 Jun 28;15(7):e01496. doi: 10.1213/XAA.0000000000001496. PMID: 34185027.