Difference between revisions of "Compartment pressure measurement"

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(Contraindications)
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==Contraindications==
 
==Contraindications==
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*Avoid areas of cellulitis.
  
 
==Equipment Needed==
 
==Equipment Needed==

Revision as of 21:43, 20 July 2014

Indications

Compartment Syndrome Indications

Contraindications

  • Avoid areas of cellulitis.

Equipment Needed

Procedure

  1. Contents of the pressure measurement kit
  2. Remove contents from wrapping
  3. Attach chamber to the pre-filled saline syringe
  4. Place the aforementioned into the monitor/unit
  5. Place needle onto chamber
  6. Eject excess air, if present, from syringe
  7. Zero the assembled unit at the angle you will be entering compartment
  8. Insert, inject 2-3 drops of saline, and await measurement

Steps to measure compartment pressure using a striker needle

Pressure Interpretation

Interpretation of Compartment Pressure

  • Normal is <10 mm Hg
  • Pressures <20 mmHg can be tolerated w/o significant damage
  • Exact level of pressure elevation that causes cell death is unclear. It was previously thought pressure >30 mmHg was toxic although the "delta pressure" may be better predictor than absolute pressure

ΔPressure = [Diastolic Pressure] – [Compartment Pressure][1]

  • ΔPressure < 30 mm Hg is suggestive of compartment syndrome

Complications

See Also

Compartment Syndrome

External Links

Sources

  1. Elliott, KGB. Diagnosing acute compartment syndrome. J Bone Joint Surg Br. 2003 Jul;85(5):625-32. PDF