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Peripheral Nerve Block Does it Affect Pain Perception in Acute Compartment Syndrome A Systematic Review

Author

Listed:
  • Ashraf Elazab

    (Department of Orthopedic Surgery, Dammam Medical Complex, Dammam, Saudi Arabia)

  • Ahmed Abd-Elgawad

    (Department of Anesthesia, Dammam Medical Complex, Dammam, Saudi Arabia)

  • Mohamed Attia

    (Department of Orthopedic Surgery, ELsenbellaween, and Mansoura international hospital, Egypt)

Abstract
The purpose of this study was to evaluate the effect of peripheral nerve block (PNB) on perception of pain induced by compartment syndrome (CS) in orthopedic surgery. Studies emphasized or discussed the relation between PNB and CS until March 2017 were identified in databases. Nine studies were eligible according to our selection criteria. All were case reports. Outcome including pain perception, duration to decompression and tissue necrosis were extracted from selected studies and analyzed. Pain perceived in seven out of nine cases. Decompression time range from 0 to 4 hours from pain perception and 140 min to 48 hours from operation time. Tissue necrosis was observed in three out of nine cases. In conclusion there is no evidence in the literatures supporting the assumption that PNB prevent the perception of CS pain. Accordingly, it could be considered safe for postoperative pain control in orthopedic surgery with special precautions in high-risk patients.

Suggested Citation

  • Ashraf Elazab & Ahmed Abd-Elgawad & Mohamed Attia, 2018. "Peripheral Nerve Block Does it Affect Pain Perception in Acute Compartment Syndrome A Systematic Review," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 12(4), pages 72-77, August.
    • Handle: RePEc:adp:joroaj:v:12:y:2018:i:4:p:72-77
    DOI: 10.19080/OROAJ.2018.12.555844
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