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Exploring Invisible Part of The Iceberg: Compartment Syndrome in Orthopaedic Patients and Nursing Approaches

Yıl 2014, Cilt: 7 Sayı: 3, 223 - 229, 01.08.2014

Öz

Compartment syndrome is a serious condition, if it can not be early diagnosis that may impair the quality of life of individuals.
Generally trauma, surgery, immobilization, and infections are caused by compartment syndrome that included three types as
acute, chronic and crush. Because of the incidence of compartment syndrome is higher in individuals especially who is
exposed to trauma and orthopedic surgery, orthopedic nurses have great responsibilities related compartment syndrome
prevention, early diagnosis, and initiation of necessary interventions. This problem is extremely important when if it can not
early diagnosis, so it can be result in amputation. Despite of compartment syndrome has great importance, this subject has not
been given enough in nursing literature in our country. Through with the requirements of this review article written and it was
provided the knowledge on description of compartment syndrome, incidence, etiology, pathophysiological process, signs and
symptoms, prevention, early diagnosis, treatment and nursing care

Kaynakça

  • Al, B., Güllü, M.N., Kaplan, M., Güloğlu, C., & Aldemir, M., (2006) Crush Sendromu. Tıp Araştırmaları Dergisi, 4(2), 31-38.
  • Altizer, L., (2004) Compartment Syndrome. Orthopaedic Nursing, 23(6), 391-396.
  • Bilik, Ö. (2012). Hemşirelik bakımında bütünün bir parçası nörovasküler tanılama. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 5(4), 175-179.
  • Child, S. (2007) Musculoskeletal Truma and Orthopedic Surgery, In: Lewis L. S, HeitkemperM. M, Dirksen S.R, Obrien P. G, BucherL., Medical Surgical Nursing (pp. 1071-78). Mosby Elsevier.
  • Duchwort, A.D. & Mqueen, M. M. (2011) Focus on diagnosis of acute compartment syndrome. The Journal of Bone and Joint Surgery, 1, 1-8.
  • Erdil, F. ve Elhan Özbaş, N. Kas İskelet Sistemine İlişkin Cerrahi Girişimler ve Hemşirelik Bakımı, In Cerrahi Hastalıkları Hemşireliği. Genişletilmiş IV. Baskı. Aydoğdu Ofset, Ankara 2001. In: Bölüm 45. sayfa 570-571
  • Harvey, C. (2001). Compartment syndrome: When it is least expected. Orthopaedic Nursing, 20 (3), 15-25
  • Heron Evans, M.R. (2006). Interventions for Clients with Musculoskeletal Trauma. Chapter 55. In. Ignatavicius DD, Workman ML. Medical Surgical Nursing Critical Thinking for Collaborative Care (p. 1191-1192). Fifth Edition. Copyright by Elsevier Inc. Philadelphia.
  • Hoover, T.J. and Siefert, J.A. (2000). Soft tissue complications of orthopaedic emergencies. Emergency Medicine Clinics of North America, 18(1), 115-139
  • Judge, N.L. (2007). Neurovascular assessment. Nursing Standard, 21 (45), 39.
  • Love, C.,(1998). A discussion and analysis of nurse-led pain assessment for the early detection of compartment syndrome. Journal of Orthopaedic Nursing, 2, 160-167.
  • Love, C., (2000). Bandaging skills for orthopaedic nurses. Journal of Orthopaedic Nursing, 4, 84–91.
  • Louisiana State University-LSU, (2009) Standard 2, Care of the patient with potential neurovascular impairment. Erişim: 20.02.2014
  • www.sh.lsuhsc.edu/policies/policy...Care/Standard%202.pd f Matthew, R.B, Daniel, B.P., Laith, M.J., & Andrew, S.O. (2005). Chronic exertional compartment syndrome diagnosis and management. Hospital for Joint Diseases, 62, 77-84.
  • McQueen, M.M., Gaston, P., & Court-Brown, C.M. (2000). Acute compartment syndrome: who is at risk? Journal Bone Joint Surgical, 82, 200-3.
  • Mcqueen, M.M., ve Court-Brown, C.M. (1996). Compartment monitoring in tibial fractures: the pressure treshold for decompression. Journal of Bone And Joint Surgery (British), 78(1), 99-104
  • Middleton, C. (2003). Compartment syndrome: the importance of early diagnosis. Nursing Times; 99, 21, 30–32.
  • Miller, N.C., Askew, A.E. (2007). Tibia fractures. An overview of evaluation and treatment. Orthopaedic Nursing, 26(4), 216-223.
  • Morin, R.J., Swan, K.G., Tan, V. (2009). Acute forearm compartment syndrome secondary to local arterial injury after penetrating trauma. Journal Trauma, 66, 989-93.
  • Olson, S.A., & Glasgow, R.R. (2005). Acute Compartment Syndrome in Lower Extremity Musculoskeletal Trauma. Journal of the American Academy of Orthopaedic Surgeons, 13: 436-444.
  • Özbek, S., (2003). Üst Ekstemitede Fasyotomi: Endikasyonları ve Tekniği. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 29 (1), 37-40.
  • Pritchard, M.H., Williams, R.L., & Heath, J.P. (2005). Chronic compartment syndrome, an important cause of work-related upper limb disorder. Rheumatology (Oxford), 44, 1335-6.
  • Ramos, C., Whyte, C.M., Harris, B.H. (2006). Nontraumatic compartment syndrome of the extremities in children. Journal of Pediatric Surgery. 41(12), 5–7.
  • Simpson, N.S., & Jupiter, J.B. (1995). Delayed onset of forearm compartment syndrome: a complication of distal radius fracture in young adults. Journal of Orthoedic Trauma, 9, 411-18.
  • Tiwari, A., Hag, A., Myint, F., & Hamilton, G. (2002). Acute Compartment Syndromes, British Journal of Surgery, 89, 397-412 Tollens, T., Janzing, H., & Bros, P. (1998). The pathophysiology of the acute compartment syndrome. Acta chirurgica Belgica,, 98, 171-5.
  • Tumbarello, C. (2000). Acute Extremity Compartment Syndrome. Journal of Trauma Nursing. 7(2), 30-36.
  • Tucker, K., (1998). Compartment syndrome: the orthopaedic nurse's vital role, Journal of Orthopaedic Nursing, 2, 33- 36
  • Ward, N.J. (2007). Compartment syndrome following ankle sprain. Journal of Bone and Joint Surgery, 89(7), 953-5.
  • Yamaguchi, S., & Viegas, S.F., (1998). Causes of upper extremity compartment syndrome. Hand Clinics, 14, 365- 70.
  • Zandi, H., Bell, S. (2005). Results of compartment decompression in chronic forearm compartment syndrome: six case presentations. British Journal of Sports Medicine, 39, 35-41.

Buzdağının Görünmeyen Yüzünü Keşfetmek: Ortopedi Hastalarında Kompartman Sendromu Ve Hemşirelik Yaklaşımları

Yıl 2014, Cilt: 7 Sayı: 3, 223 - 229, 01.08.2014

Öz

Kompartman sendromu, erken tanılanamadığında bireylerin yaşam kalitesini bozabilen ciddi bir durumdur. Genellikle travma, ameliyat, immobilizasyon ve enfeksiyon nedeniyle meydana gelen kompartman sendromunun akut, kronik ve crush olarak üç tipi vardır. Özellikle ortopedik cerrahi geçiren ve travmaya maruz kalan kişilerde görülme sıklığı daha fazla olduğundan, kompartman sendromunun önlenmesinde, erken tanılanmasında ve gerekli girişimlerin başlatılmasında ortopedi hemşirelerine büyük sorumluluklar düşmektedir. Son derece önemli olan bu sorun erken saptanamadığında amputasyon ile sonuçlanabilmektedir. Önemi büyük olmasına rağmen ülkemizde hemşirelik literatüründe bu konuya yeterince yer verilmemiştir. Bu gereksinim doğrultusunda yazılan bu derleme makalede kompartman sendromunun tanımı, insidansı, etyolojisi, fizyopatolojik süreci, belirti ve bulguları, önlenmesi, erken tanılanması, tedavisi ve hemşirelik bakımına ilişkin bilgiler sunulmuştur.

Kaynakça

  • Al, B., Güllü, M.N., Kaplan, M., Güloğlu, C., & Aldemir, M., (2006) Crush Sendromu. Tıp Araştırmaları Dergisi, 4(2), 31-38.
  • Altizer, L., (2004) Compartment Syndrome. Orthopaedic Nursing, 23(6), 391-396.
  • Bilik, Ö. (2012). Hemşirelik bakımında bütünün bir parçası nörovasküler tanılama. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 5(4), 175-179.
  • Child, S. (2007) Musculoskeletal Truma and Orthopedic Surgery, In: Lewis L. S, HeitkemperM. M, Dirksen S.R, Obrien P. G, BucherL., Medical Surgical Nursing (pp. 1071-78). Mosby Elsevier.
  • Duchwort, A.D. & Mqueen, M. M. (2011) Focus on diagnosis of acute compartment syndrome. The Journal of Bone and Joint Surgery, 1, 1-8.
  • Erdil, F. ve Elhan Özbaş, N. Kas İskelet Sistemine İlişkin Cerrahi Girişimler ve Hemşirelik Bakımı, In Cerrahi Hastalıkları Hemşireliği. Genişletilmiş IV. Baskı. Aydoğdu Ofset, Ankara 2001. In: Bölüm 45. sayfa 570-571
  • Harvey, C. (2001). Compartment syndrome: When it is least expected. Orthopaedic Nursing, 20 (3), 15-25
  • Heron Evans, M.R. (2006). Interventions for Clients with Musculoskeletal Trauma. Chapter 55. In. Ignatavicius DD, Workman ML. Medical Surgical Nursing Critical Thinking for Collaborative Care (p. 1191-1192). Fifth Edition. Copyright by Elsevier Inc. Philadelphia.
  • Hoover, T.J. and Siefert, J.A. (2000). Soft tissue complications of orthopaedic emergencies. Emergency Medicine Clinics of North America, 18(1), 115-139
  • Judge, N.L. (2007). Neurovascular assessment. Nursing Standard, 21 (45), 39.
  • Love, C.,(1998). A discussion and analysis of nurse-led pain assessment for the early detection of compartment syndrome. Journal of Orthopaedic Nursing, 2, 160-167.
  • Love, C., (2000). Bandaging skills for orthopaedic nurses. Journal of Orthopaedic Nursing, 4, 84–91.
  • Louisiana State University-LSU, (2009) Standard 2, Care of the patient with potential neurovascular impairment. Erişim: 20.02.2014
  • www.sh.lsuhsc.edu/policies/policy...Care/Standard%202.pd f Matthew, R.B, Daniel, B.P., Laith, M.J., & Andrew, S.O. (2005). Chronic exertional compartment syndrome diagnosis and management. Hospital for Joint Diseases, 62, 77-84.
  • McQueen, M.M., Gaston, P., & Court-Brown, C.M. (2000). Acute compartment syndrome: who is at risk? Journal Bone Joint Surgical, 82, 200-3.
  • Mcqueen, M.M., ve Court-Brown, C.M. (1996). Compartment monitoring in tibial fractures: the pressure treshold for decompression. Journal of Bone And Joint Surgery (British), 78(1), 99-104
  • Middleton, C. (2003). Compartment syndrome: the importance of early diagnosis. Nursing Times; 99, 21, 30–32.
  • Miller, N.C., Askew, A.E. (2007). Tibia fractures. An overview of evaluation and treatment. Orthopaedic Nursing, 26(4), 216-223.
  • Morin, R.J., Swan, K.G., Tan, V. (2009). Acute forearm compartment syndrome secondary to local arterial injury after penetrating trauma. Journal Trauma, 66, 989-93.
  • Olson, S.A., & Glasgow, R.R. (2005). Acute Compartment Syndrome in Lower Extremity Musculoskeletal Trauma. Journal of the American Academy of Orthopaedic Surgeons, 13: 436-444.
  • Özbek, S., (2003). Üst Ekstemitede Fasyotomi: Endikasyonları ve Tekniği. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 29 (1), 37-40.
  • Pritchard, M.H., Williams, R.L., & Heath, J.P. (2005). Chronic compartment syndrome, an important cause of work-related upper limb disorder. Rheumatology (Oxford), 44, 1335-6.
  • Ramos, C., Whyte, C.M., Harris, B.H. (2006). Nontraumatic compartment syndrome of the extremities in children. Journal of Pediatric Surgery. 41(12), 5–7.
  • Simpson, N.S., & Jupiter, J.B. (1995). Delayed onset of forearm compartment syndrome: a complication of distal radius fracture in young adults. Journal of Orthoedic Trauma, 9, 411-18.
  • Tiwari, A., Hag, A., Myint, F., & Hamilton, G. (2002). Acute Compartment Syndromes, British Journal of Surgery, 89, 397-412 Tollens, T., Janzing, H., & Bros, P. (1998). The pathophysiology of the acute compartment syndrome. Acta chirurgica Belgica,, 98, 171-5.
  • Tumbarello, C. (2000). Acute Extremity Compartment Syndrome. Journal of Trauma Nursing. 7(2), 30-36.
  • Tucker, K., (1998). Compartment syndrome: the orthopaedic nurse's vital role, Journal of Orthopaedic Nursing, 2, 33- 36
  • Ward, N.J. (2007). Compartment syndrome following ankle sprain. Journal of Bone and Joint Surgery, 89(7), 953-5.
  • Yamaguchi, S., & Viegas, S.F., (1998). Causes of upper extremity compartment syndrome. Hand Clinics, 14, 365- 70.
  • Zandi, H., Bell, S. (2005). Results of compartment decompression in chronic forearm compartment syndrome: six case presentations. British Journal of Sports Medicine, 39, 35-41.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Hale Turhan Damar Bu kişi benim

Özlem Bilik Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 7 Sayı: 3

Kaynak Göster

APA Damar, H. T., & Bilik, Ö. (2014). Buzdağının Görünmeyen Yüzünü Keşfetmek: Ortopedi Hastalarında Kompartman Sendromu Ve Hemşirelik Yaklaşımları. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 7(3), 223-229.

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