A Simple Method to Measure Compartment Pressures Using an Intravenous Catheter

Wilson, Scott C.; Vrahas, Mark; Berson, Lawrence; Paul, Emmanuel M.

doi:10.3928/0147-7447-19970501-08

Cited by 35 publications

(5 citation statements)

References 12 publications

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“…In current clinical practice, a standard diagnostic method for CS is to measure the ICP by inserting a thick needle into the muscle 46 , 47 . Since it is invasive and dangerous, SWE can be an alternative method for safe CS diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography

Kang

Park

Lim

et al. 2021

Sci Rep

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Compartment syndrome (CS) is a pathological event caused by elevated intracompartmental pressure (ICP); however, changes from the onset of inducing atraumatic CS remained unclear. The study aimed to investigate the physiological changes in a newly developed in vivo porcine acute atraumatic CS model. CS was induced by ischemia–reperfusion injury in the left hind leg of fourteen pigs divided into an echogenicity group (EG) and a shear wave elastography group (SEG). Echogenicity was measured in EG, and shear elastic modulus (SEM) was measured in SEG seven times before, at the onset of inducing CS, and every 30 min after the onset over eight hours. Simultaneously, ICP, blood pressure, and muscle perfusion pressure (MPP) were also measured in both groups. Our results indicate that SEM of the experimental leg in SEG significantly increased as CS developed compared to the control leg (p = 0.027), but no statistical difference in the echogenicity in EG was found between the experimental leg and control leg. There were also significant correlations between SEM and ICP (p < 0.001) and ICP and MPP (p < 0.001). Our method and findings can be a basis to develop a non-invasive diagnostic tool using a shear wave elastography for atraumatic CS.

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Section: Discussionmentioning

confidence: 99%

Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography

Kang

Park

Lim

et al. 2021

Sci Rep

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“…Compartment pressure testing was performed in the operating room using the arterial line transducer technique (Figure 2 ) [ 5 ]. Pressures were noted to be elevated primarily in the superficial posterior compartment with a delta pressure of -5 mmHg relative to diastolic blood pressure (diastolic blood pressure 81, absolute compartment pressure 86 mmHg), and the deep posterior compartment with a delta pressure of 10 mmHg (absolute compartment pressure 71 mmHg).…”

Section: Case Presentationmentioning

confidence: 99%

Atraumatic Idiopathic Compartment Syndrome Requiring Emergent Fasciotomy: A Case Report and Literature Review

Markus,

Bi,

Neal

et al. 2024

Cureus

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A 42-year-old male with no past medical history presented to an emergency room with increasing pain and swelling of his left lower extremity over 48 hours with no preceding trauma. A computed tomography scan demonstrated a hematoma (20 cm × 4 cm × 10 cm) present within the gastrocnemius-soleus complex. Acute compartment syndrome (ACS) was diagnosed clinically, confirmed intraoperatively with an arterial line transducer, and treated with emergent fasciotomy. Extensive workup found no evidence of coagulopathy or source of bleeding. This case presents a patient with ACS secondary to an atraumatic gastrocnemius hematoma discovered in the emergency room with no history of coagulopathies or anticoagulation.

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“…The lines are calibrated at level of patient forearms then connected to the forearm cannulae. 8 Pressure measurements are taken in 2 ways, first, with the hands and forearms in a relaxed position and wrists neutral; and second, in power grip using a Jamar grip strength meter held at sustained squeeze.…”

Section: Intracompartment Pressure Monitoringmentioning

confidence: 99%

“…Four pressure lines are connected to separate channels of the anesthetic arterial pressure transducer. The lines are calibrated at level of patient forearms then connected to the forearm cannulae 8…”

Section: Intracompartment Pressure Monitoringmentioning

confidence: 99%

Simultaneous 4 Compartment Pressure Monitoring in Diagnosis of Chronic Exertional Compartment Syndrome of the Forearm

Bott

Roszpopa²,

Johnston³

et al. 2020

Techniques in Hand &Amp; Upper Extremity Surgery

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The authors describe a technique for bilateral simultaneous measuring of forearm compartments pressure for assessment of suspected chronic exertional compartment syndrome of the forearm. Under ultrasound guidance, 18-G cannulae were inserted bilaterally into the superficial flexor and dorsal extensor forearm compartments. The imaging was used to confirm safe subfascial placement, and ensured no kinking or catching on the muscle bellies during dynamic movements. An arterial pressure transducer with 4 portals allowed simultaneous measurements from 4 compartments. Intracompartmental pressure (ICP) was measured in 2 ways, (1) hand in a relaxed position and (2) power grip with Jamar Dynamometer. After baseline measurements were taken, the patient undertook a period of rowing sufficient to generate symptoms. ICPs were then recorded at 1, 2, and 5 minutes by which time symptoms had resolved. Using this method ICPs in 4 myofascial compartments was measured in the same limb, simultaneously, pre-and postexercise.

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A Simple Method to Measure Compartment Pressures Using an Intravenous Catheter

Cited by 35 publications

References 12 publications

Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography

Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography

Atraumatic Idiopathic Compartment Syndrome Requiring Emergent Fasciotomy: A Case Report and Literature Review

Simultaneous 4 Compartment Pressure Monitoring in Diagnosis of Chronic Exertional Compartment Syndrome of the Forearm

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