Two Case reports : Near-infrared spectroscopy may be an useful procedure for the diagnosis and treatment of compartment syndrome.

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  • Oshibuchi Rumi
    Department of Anesthesiology, Yamaguchi University Graduate School of Medicine
  • Wakamatsu Hiroya
    Department of Anesthesiology, Yamaguchi University Graduate School of Medicine
  • Matsuda Norimasa
    Department of Anesthesiology, Yamaguchi University Graduate School of Medicine
  • Matsumoto Satoshi
    Department of Anesthesiology, Yamaguchi University Graduate School of Medicine
  • Matsumoto Mishiya
    Department of Anesthesiology, Yamaguchi University Graduate School of Medicine Department of Intensive Care Unit, Yamaguchi University Hospital

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  • コンパートメント症候群の診断・治療選択に近赤外線分光法が有効であった2症例

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Measuring the intracompartmental pressure is often done for the diagnosis and treatment of the compartment syndrome. If the intracompartmental pressure increases, oxygen delivery to the lesion may decrease. Therefore, it may be more important to evaluate tissue oxygenation at the lesion. To evaluate tissue oxygenation, we measured intracompartmental regional saturation of oxygen (rSO2) in two cases of compartment syndrome that required fasciotomy. Each rSO2 level at the lesion was showed low before fasciotomy. We measured rSO2 after the surgery in one case and found increased rSO2 compared to the value before the surgery. Measuring rSO2 may be useful for the diagnosis of compartment syndrome.

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