Orthopedics Book

Neurology

  • Intracompartmental Pressure Monitor

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Intracompartmental Pressure Monitor

Aka: Intracompartmental Pressure Monitor
  1. Indications
    1. Compartment Syndrome
    2. Exertional Compartment Syndrome
  2. 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
  3. Technique
    1. Control needle depth and insertion site
    2. Control extremity position during measurement
  4. 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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