K.B. is transferred to the pediatric intensive care unit (PICu) and treated for changes in her neurologic sta-
tus.
The next day her primary care provider determines that her condition is stable and has her transferred
back to the pediatric unit. It is now 36 hours after surgery. K.B. suddenly begins to complain of extreme
pain in her lower right leg. she had pain medication 2 hours ago and rates her pain as a 10 of 10.
Which of these findings are early signs of compartment syndrome? Select all that apply.
a. Diminished pedal pulse
b. Macular rash
c. Edema
d. Paresthesia
e. Capillary refill less than 2 seconds
f. Increased pain
a, c, d, f
Compartment syndrome is a potentially serious complication caused by an increase in pressure in
a limited space that compromises circulation and innervation. Neuromuscular damage can occur in a
relatively short period of time. Suggested compression impairment should be reported immediately.
Capillary refill is within normal parameters, however, and would likely increase over time. There is no
rash with compartment syndrome.
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