Military medicine
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Regional anesthesia of the hand can be used in a vast array of hand injuries and minor operations. Local infiltration techniques require multiple injections and higher doses of anesthetic the that make them less preferable to peripheral nerve blocks. Regional anesthesia can be safe and effective as long as the provider has a firm understanding of the anatomy and technique. Multiple peripheral nerve blockade at the wrist can be a safe means of exploring complex wounds to the hand in both the emergency department and the operating room with minimal tissue distortion.
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In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome developed in 31 patients. ⋯ Seventy-seven patients underwent fasciotomy, and 6 underwent extremity amputation. The total number of hemodialysis sessions was 173. Six patients died as a result of crush sepsis and adult respiratory distress syndrome.