[RARE COMPARTMENT SYNDROME AFTER PHYSICAL ACTIVITY].

A 16 years old girl presented with gradual foot pain after running 2 kilometers. Conservative treatment that consisted of rest and high dose of analgesia had no effect. An MRI scan revealed a partial tear of the abductor hallucis muscle with diffuse edema in the compartment.

Similar incidence of hypotension with combined spinal-epidural or epidural alone for knee arthroplasty.

Background: We hypothesized that the incidence of hypotension during total knee replacement (TKR) surgery is lower in patients given combined spinal-epidural (CSE) anesthesia vs those receiving epidural anesthesia alone.

Methods: In a prospective study, 80 American Society of Anesthesiologists I-II patients (aged 40-80 yr), undergoing elective TKR surgery were randomly assigned to either CSE anesthesia (CSE, n = 40) or epidural anesthesia alone (Epidural, n = 40). Hemodynamic measurements included oscillometric mean arterial blood pressure (MAP), heart rate (HR), and cardiac index (CI) as determined by thoracic bioimpedance; systemic vascular resistance (SVR) was calculated.