Thenar Compartment Syndrome Related to Tightened Radial

A&A practice · Dec 2022

Case Reports

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

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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- Sung Ho Moon, Daeseok Oh, Myoung Jin Ko, Ji Yeon Kwon, Young Gyun Choi, Sun Young Kim, and Sehun Lim.
- From the Department of Anesthesia & Pain Medicine, Inje University Haeundae Paik Hospital, Busan, Republic of Korea.
- A A Pract. 2022 Dec 1; 16 (12): e01642e01642.
AbstractWe 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.Copyright © 2022 International Anesthesia Research Society.

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

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