Incidence of acute compartment syndrome with routine use of regional anesthesia for patients with long bone fractures: a large single-center retrospective review from a level I trauma tertiary academic institution
Authors' conclusion
Our large observational dataset evaluated the risk of missing or delaying ACS diagnosis when PNBs were offered for trauma patients and demonstrated a relatively low incidence of ACS despite the routine use of PNBs under strictly protocolized conditions when patients were managed by a dedicated multidisciplinary care team.
Study context
- Population
- Patients with long bone fractures at a level I trauma tertiary academic institution, 2008–2018, with routine regional anaesthesia under a management protocol
- Participants
- 26,537 patients
- Outcome
- Incidence of ACS
Methodological detailssingle-centre, retrospective chart review, level I trauma centre
- Single-centre
- Retrospective chart review
- Level I trauma centre
Main finding
As reported in the abstract
Incidence of acute compartment syndrome
Incidence of acute compartment syndrome (ACS)
0.1%
Incidence of ACS per 1000 patients with long bone fractures
1.017
Observational data: associations, not effects.
Further findings
Surgery and regional anaesthesia use
- Patients requiring surgery (approximately)
- 20%
- Surgically treated patients receiving regional anaesthesia
- 91.5%
Original publication
Incidence of acute compartment syndrome with routine use of regional anesthesia for patients with long bone fractures: a large single-center retrospective review from a level I trauma tertiary academic institution. Reg Anesth Pain Med. Published 11 September 2023. doi:10.
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