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British Journal of Anaesthesia, Vol 77, Issue 4 546-549, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia


CASE REPORTS

Bilateral compartment syndrome complicating prolonged lithotomy position

J. Tuckey
Department of Anaesthesia, Bristol Royal Infirmary, Marlborough Street, Bristol BS2 8HW

A case of bilateral compartment syndrome after prolonged Lloyd-Davies lithotomy position is described. The diagnosis was made early, despite effective extradural bupivacaine-fentanyl analgesia. The aetiology, diagnosis, pathology and treatment of compartment syndrome are described. Complications of the syndrome may be life-threatening and permanently disabling. The anaesthetist should be aware of the potential complications of the operative positions of the unconscious patient.
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