What is crucial to monitor in a patient undergoing Russell's traction?

Monitoring the risk of thrombophlebitis is vital for a patient undergoing Russell's traction. This type of traction is used to stabilize fractures or dislocations, particularly of the lower extremities. Prolonged immobility, as seen in patients with traction, can lead to decreased venous return and promote the formation of blood clots, particularly in the legs. Thrombophlebitis is an inflammation of the vein that can occur due to the presence of a clot, and being vigilant about this risk helps in preventing significant complications such as deep vein thrombosis (DVT) or pulmonary embolism.

Monitoring sensation levels, muscle tone, or fluid intake, while important in a general assessment of the patient, does not specifically address the heightened risk associated with immobility and circulatory changes that come with Russell's traction. It is essential to prioritize monitoring for signs of clot formation and ensure that appropriate interventions, like early mobilization when possible or medication for prophylaxis, are implemented if necessary.