A compartment is an area of muscle groups and neurovascular structures enclosed by fascia. The leg consists of four compartments: anterior, lateral, superficial posterior, and deep posterior. The foot, although occupying less surface area than the leg, contains nine compartments. Common causes include but are not limited to trauma, hemorrhage, tight casting, or constrictive bandaging. When the physician has diagnosed an acute compartment syndrome, surgical decompressive fasciotomy should be performed urgently. Although a compartmental release in the operating room is the standard of care, in select cases, bedside fasciotomy can be performed to reduce the incidence of morbidity in a patient. In this brief review, we discuss the use of a bedside fasciotomy under local anesthetics in select cases to avoid delay in compartmental release.
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