Compartment Syndrome of the Hand Induced by Peripherally Extravasated Phenylephrine. (January 2021)

• Record Type: Journal Article
• Authors: Fisher, Alec H.; Jarrett, Nicole J.
• Is Part Of: Hand. Volume 16:Number 1(2021)
• Page Start: NP10
• Page End: NP12
• Publication Date: 2021-01
• Subjects: phenylephrine -- phentolamine -- hand compartment syndrome -- fasciotomy -- vasoactive extravasation; Hand -- Surgery -- Periodicals; Hand -- Surgery; Periodicals; 617.57005
• DOI: 10.1177/1558944720937361
• Languages: English
• ISSNs: 1558-9447

Abstract

Background: Compartment syndrome of the hand is a rare and devastating complication of peripheral intravenous extravasation. With changes in critical care research, vasoactive medications are now more frequently administered through peripheral lines in the acute setting.Methods: We present the case of a patient diagnosed with compartment syndrome of the hand secondary to phenylephrine extravasation in the setting of hypovolemic shock.Results: The use of fasciotomy compartment release and intraoperative phentolamine resulted in significant improvement in tissue perfusion postoperatively.Conclusion: With incraesed incidence of peripherally administered vasoactive medications, the hand surgeon should be aware of potential complications and treatment of compartment syndrome with urgent fasciotomy and phentolamine administration.