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Intracompartmental Pressure Monitor

Indications
1. Compartment Syndrome
2. Exertional Compartment Syndrome
Equipment
1. Needles (18 gauge)
  1. Side-ported needle or
  2. Slit catheter
  3. Avoid simple needle (lower accuracy)
2. Hand-held monitor
  1. Compartment Pressure Monitor by Stryker Instrument
Technique
1. Control needle depth and insertion site
2. Control extremity position during measurement
Interpretation
1. Traumatic Compartment Syndrome fasciotomy indications
  1. Tissue pressure exceeds 30 to 45 mmHg
  2. Tissue pressure within 20 mmHg of Diastolic BP
2. Exertional Compartment Syndrome Criteria
  1. Readings only valid if Exercise reproduces symptoms
  2. Resting tissue pressure exceeds 10 to 15 mmHg
  3. Pressure 5 minutes post-Exercise over 15 to 25 mmHg

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.