Nursing care of patients und ergoing neck surgery: Preventing, recognizing, and treating neck compartment syndrome
Jan Mejzlík,1,2, Arnošt Pellant1,2, Jana Škvrňáková2, Petra Mandysová2
1University Pardubice, Faculty of Health Studies, Department of ENT and Head and Neck Surgery, Regional Hospital Pardubice, Czech Republic
2University Pardubice, Faculty of Health Studies, Czech Republic
Korespondenční autor: Jan Mejzlík (Jan.Mejzlik@nemocnice-pardubice.cz)
ISSN 1804-7181 (On-line)
Full verze:
Submitted:6. 6. 2013
Accepted: 11. 12. 2013
Published online: 30. 12. 2013
Summary
The aim of this article was to describe the phenomenon of neck compartment syndrome and its nursing management. Compartment syndrome is currently known as a potentially serious problem occurring mainly in patients with limb trauma or in patients who underwent abdominal surgery. On the other hand, the scientific literature has devoted little attention to compartment syndrome of the neck. The scientific literature describing the physiology of wound healing was reviewed, with a focus on two factors closely related to wound healing in the neck and potentially affecting the development of neck compartment syndrome: neck bandaging techniques and wound drainage. Current knowledge about neck compartment syndrome was summarized. At present, only limited yet important information is available that may assist nurses and other members of the health care team to implement measures to minimize the risk of neck compartment syndrome. The information that is available about neck compartment syndrome could serve as an impetus for nurses to implement care that aims to prevent neck compartment syndrome. Of equal importance is a coordinated effort by the entire health care team to prevent this complication, or, if it develops, to manage it. This study highlights the importance of realizing that compartment syndrome is a potentially serious complication occurring not only in the commonly known anatomical locations (such as the limbs and the abdomen) but also in the neck. Additional studies shedding more light on this complication – using a nursing as well as a multidisciplinary approach – are needed.
Keywords: neck compartment syndrome; wound care; wound healing; neck surgery
Literatura
1. Benumof JL (2004). Obesity, sleep apnea, the airway, and anesthesia. Curr Opin Anest. 2004/17: 22–30.
2. Čapov I, Wechsler J, Chovanec J, Jedlička V, Mašek M, Novák Z et al. (2001). Drény a jejich využití v chirurgických oborech [Drains and their use in surgical branches]. Praha: Grada, 2001, 312 p. (Czech).
3. Edwards S (2004). Acute compartment syndrome. Emergency Nurse. 12/3: 32–38.
4. El-Kadi M, Abla A, Bost J, Maroon J (2007). Complication and avoidance techniques in long-segment anterior cervical fusion: Part II. Contemp Spine Surg. 8: 1–5.
5. Ezri T, Gewürtz G, Sessler DI, Medalion B, Szmuk B, Hagberg C, Sussmalian S (2003). Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia. 58: 1111–1116.
6. Gallagher JJ (2006). Ask the experts. Crit Care Nurse. 26: 67–70.
7. Gerhart A (2007). An unusual presentation of compartment syndrome: Overuse. Advanced Emerg Nurs J. 2007/29: 41–51.
8. Gorgos D (2004). Adjuncts can accelerate impaired wound healing. Dermatol Nurs. 16: 541–568.
9. Harvey CV (2006). Complications. Orthopedic Nurs. 25: 410–412.
10. Jain SS, Dhand R. (2004). Perioperative treatment of patients with obstructive sleep apnea. Curr Opin Pulm Med. 10: 482–488.
11. Jerosch J, Brons F, Strauss JM (1997). How relevant are calculations of mean intracompartmental pressure in functional compartment syndrome? Biomed Tech. 42: 42–47.
12. Jost G, Redon H (1954). La fermeture sous dépression des plaies étendues. Mem Acad Chir (Paris). 80: 394–396.
13. Leaper DJ (2006). Traumatic and surgical wounds. Brit Med J. 2006/332: 532–535.
14. Marsh DJ, Abu-Sitta G, Patel H (2007). The role of vacuum-assisted wound closure in blast injury. Plast Rec Surg. 119: 1978–1979.
15. Mejzlík J (2012). Use of a silicon microsensor for pressure monitoring inside the wound and outcomes on healing. Journal of Wound Care. 12/11: 589–594.
16. Mejzlík J (2006a). Vztah kompresního obvazu a hojení operačních ran po totální laryngektomii. Kniha súhrnov XI. kongresu mladých otolaryngologóv [The relation of compressive dressing and healing of surgical wounds after total laryngectomy. The collection of abstracts from the XI. Congress of young otolaryngologists]. Modra Harmónia, p. 32 (Czech).
17. Mejzlík J, Dobeš D, Pellant A (2006b). Interfascial pressure monitoring after neck oncological surgery. Congress of International Federation of Head and Neck Oncologic Societies, Prague, Czech Republic. Otolaryngol a Foniat (Prague). 55(Suppl. 1): 205.
18. Mohamed SA, Thrush S, Scott-Coombes DM (2002). Acute stridor secondary to recurrent multinodular goiter after previous subtotal thyroidectomy: Compartment syndrome of the neck. Europ J Surg. 168: 372–373.
19. Paje DTT, Kremer MJ (2006). The perioperative implications of obstructive sleep apnea. Orthopedic Nurs. 25: 291–297.
20. Pellant A, Mejzlík J, Chrobok V, Škvrňáková J (2006a). Drenáž a pooperační komprese rány jako důležité faktory prevence vzniku kompartment syndrome [Drainage and post – operative compression of the wound as important factors of the compartment syndrome prevention]. Florence. 2/3: 33–35 (Czech).
21. Pellant A, Mejzlík J, Škvrňáková J (2006b). Kompartment-syndrom krční krajiny z pohledu ošetřovatelství [Compartment – the syndrome of neck part from the nursing point of view]. Abstract book, Nové trendy v ošetřovatelství IV, České Budějovice, p. 295–295 (Czech).
22. Shreenivas S, Magnuson S. Rosenthal EL (2006). Use of negative-pressure dressings to manage a difficult surgical neck wound. Ear Nose Throat J. 85: 390–391.
23. Stannard J (2004). Complex orthopedic wounds: Prevention and treatment with negative pressure wound therapy. Adv Skin Wound Care. 17(Suppl. 1): 2–10.
24. Vuolo J (2006). Assessment and management of surgical wounds in the clinical practice. Nurs Stand. 20/52: 46–56.
