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Forschungsdatenbank PMU-SQQUID

Paravertebral compartment syndrome after training causing severe back pain in an amateur rugby player: report of a rare case and review of the literature.
Mattiassich, G; Larcher, L; Leitinger, M; Trinka, E; Wechselberger, G; Schubert, H
BMC MUSCULOSKEL DIS. 2013; 14: 259
Fallberichte

PMU-Autor/inn/en

Larcher Lorenz
Leitinger Markus
Mattiassich Georg
Trinka Eugen
Wechselberger Gottfried

Abstract

Definitions of shock and resuscitation endpoints traditionally focus on blood pressures and cardiac output. This carries a high risk of overemphasizing systemic hemodynamics at the cost of tissue perfusion. In line with novel shock definitions and evidence of the lack of a correlation between macro- and microcirculation in shock, we recommend that macrocirculatory resuscitation endpoints, particularly arterial and central venous pressure as well as cardiac output, be reconsidered. In this viewpoint article, we propose a three-step approach of resuscitation endpoints in shock of all origins. This approach targets only a minimum individual and context-sensitive mean arterial blood pressure (for example, 45 to 50 mm Hg) to preserve heart and brain perfusion. Further resuscitation is exclusively guided by endpoints of tissue perfusion irrespectively of the presence of arterial hypotension ("permissive hypotension"). Finally, optimization of individual tissue (for example, renal) perfusion is targeted. Prospective clinical studies are necessary to confirm the postulated benefits of targeting these resuscitation endpoints.


Useful keywords (using NLM MeSH Indexing)

Acute Disease

Adult

Biopsy

Compartment Syndromes/diagnosis

Compartment Syndromes/etiology*

Compartment Syndromes/physiopathology

Compartment Syndromes/surgery

Decompression, Surgical/methods

Fascia/surgery

Football*

Humans

Low Back Pain/diagnosis

Low Back Pain/etiology*

Low Back Pain/physiopathology

Low Back Pain/surgery

Magnetic Resonance Imaging

Male

Necrosis

Pain Measurement

Paraspinal Muscles/pathology

Paraspinal Muscles/physiopathology*

Predictive Value of Tests

Recovery of Function

Resistance Training/adverse effects*

Severity of Illness Index

Time Factors

Treatment Outcome


Find related publications in this database (Keywords)

Paravertebral compartment syndrome
Back pain
Fasciotomy
Lumbar spine
Lumbago