Our Emergency Fasciotomy and Amputation Experiences

Completed

• Conditions: Amputation; Compartment Syndromes; Earthquake

• Registration Number: NCT06764446
• Lead Sponsor: Ankara City Hospital Bilkent

Brief Summary

Earthquakes are natural disasters that threaten human life and cause loss of life and property in a very short time. In our country, where a large part of the population faces the risk of earthquakes, unfortunately, destructive earthquakes that put the country at a disadvantage in social and economic terms are frequently experienced.

Detailed Description

On 6 February 2023, two major earthquakes with a magnitude of 7.7 at 04:17 and 7.6 at 13:24 local time occurred in Kahramanmaraş. In southern Turkey and northern Syria, 11 cities and approximately 14 million people were affected. According to the latest official data, at least 50,783 deaths, more than 122,000 injuries, and major damage occurred. The triage, treatment, and management of the injured was a challenging administrative task. The injured were treated in many centres throughout the country. In our hospital, all relevant units provided multidisciplinary service to our earthquake victims.

Superficial injuries, fractures, open wounds due to high-energy trauma, compartment syndrome due to compression, and crush injuries are frequently encountered after earthquakes, and patients are usually exposed to multiple traumas. The most common injuries associated with earthquakes are extremity injuries and crush syndrome. First and emergency intervention, including basic life, is usually performed in the disaster area. Emergency surgical procedures such as amputation and fasciatomy may be required for patients with compartment syndrome. The planning of all these surgeries and the follow-up and evaluation of patients require a multidisciplinary approach.

In this study, we planned to retrospectively investigate the anaesthesia management in emergency fasciatomy and amputation surgeries performed in the orthopaedic operating room of patients who were transferred to or admitted to the 3rd level City Hospital during the earthquake disaster on 6 February. We found that anaesthesia data on earthquake victims in the literature were insufficient. We aimed to share our experiences in order to provide guidance in terms of anaesthesia management in possible future disasters.

Study Timeline

• Study First Submitted: 2025-01-02
• Study First Submitted QC: 2025-01-02
• Study First Posted: 2025-01-08
• Study Start: 2025-01-15
• Primary Completion: 2025-02-15
• Study Completion: 2025-03-15
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-09
• Last Update Posted: 2025-05-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

• 6 February 2023 earthquake victims who applied to our clinic within 2 months after the earthquake and received anaesthesia and underwent emergency fasciotomy and amputation in the orthopaedic operating room, regardless of gender, aged 18 years and over.

Exclusion Criteria

• Patients who are not earthquake survivors and under 18 years of age and who have undergone surgery other than fasciatomy or amputation will not be included.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
anaesthetic management in orthopaedic earthquake victims	2 months (6 February 2023-6 April 2023)	The effect of general and regional anaesthesia practices of Bilkent City Hospital orthopaedic anaesthesia practitioners on participant prognosis

Secondary Outcome Measures

Name	Time	Method
Metabolic and inflammatory markers	preoperative and postoperative	Blood levels of CRP, creatine kinase, myoglobin, urea, creatine, haemoglobin, platelets, white blood cells, lymphocytes, inflammation markers,

Trial Locations

Locations (1)

Ankara City Hospital, Bilkent; 🇹🇷 Ankara, Turkey