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- Murray D Spruiell, Michael J Messina, Justin J Mitchell, and Frank A Scott.
- Department of Orthopedic Surgery, University of Colorado, Denver, Colorado.
- J Emerg Med. 2014 May 1;46(5):655-8.
BackgroundTubular gauze dressings are commonly used, but have potential to cause iatrogenic finger ischemia.ObjectivesTo inform health care providers of an avoidable complication and to discuss appropriate methods of prevention and treatment.Case ReportWe discuss a teenage female's finger that narrowly avoided amputation after a tubular gauze dressing caused iatrogenic ischemia. Surgical decompression using a novel technique successfully salvaged the finger. Operative intervention for this complication has previously been unreported.ConclusionIt is important that circumferential digital dressings are applied correctly. Vascular insufficiency from an occlusive dressing is an iatrogenic and avoidable complication. Successful operative decompression may be indicated to minimize tissue loss and improve circulation.Copyright © 2014 Elsevier Inc. All rights reserved.
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