Forearm compartment syndrome from intravenous mannitol extravasation during general anesthesia.

Abstract

IMPLICATIONS:

Complications of IV mannitol administration resulting in compartment syndrome may warrant surgical intervention. Compartment syndrome is difficult to diagnose in the anesthetized patient. Infusing mannitol in an observed IV site permits discontinuation of mannitol before complications ensue. Early recognition and surgical intervention averted potential impairment in our patient.

• Authors: Johnathan J Edwards, David Samuels, Eugene S Fu
• Journal: Anesthesia and analgesia (Anesth Analg) Vol. 96 Issue 1 Pg. 245-6, table of contents (Jan 2003) ISSN: 0003-2999 [Print] United States
• PMID: 12505960 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Diuretics, Osmotic
• Mannitol

Topics

• Anesthesia, General
• Compartment Syndromes (etiology, physiopathology)
• Diuretics, Osmotic (adverse effects)
• Edema (etiology)
• Female
• Forearm (blood supply, surgery)
• Humans
• Intracranial Aneurysm (surgery)
• Mannitol (adverse effects)
• Middle Aged
• Regional Blood Flow (drug effects)