Document Detail


Comparison of three methods for measuring intracompartmental pressure in injured limbs of trauma patients.
MedLine Citation:
PMID:  20502219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare three commonly used methods and devices developed for measurement of intracompartmental pressure in injured limbs. SETTING: Level II regional trauma center. PATIENTS/PARTICIPANTS: Consecutive patients treated for extremity trauma suspected to have compartment syndrome. INTERVENTION: Analysis of compartment pressure data collected using 1) a solid-state transducer intracompartmental catheter; 2) an electronic transducer-tipped catheter; and 3) a modification of Whitesides' needle manometer technique using a straight 18-gauge needle, arterial line transducer, and central venous pressure monitor. All measurements were performed in random order within an area 1.5 cm in diameter. MAIN OUTCOME MEASUREMENTS: Statistical analysis evaluating differences in measured data between methods and whether choice of method might alter treatment. RESULTS: Intracompartmental pressure was measured by each method in 97 muscle compartments in 31 injured limbs of 26 trauma patients suspected to have a compartment syndrome. The overall intraclass correlation coefficient for the three methods was 0.83 (range, 0.77-0.88), indicating only satisfactory agreement among the methods. The mean difference among measurements in each compartment was 8.3 mm Hg (range, 0-51 mm Hg), including 81 (27%) major differences exceeding 10 mm Hg and 72 (24%) minor differences of 6 to 10 mm Hg. CONCLUSIONS: The methods were similar but not completely reliable for measuring intracompartmental pressure in trauma patients. Although all methods appeared useful as aids in diagnosis of compartment syndrome, intracompartmental pressure data, especially single readings, must be interpreted in view of clinical findings.
Authors:
Cory Collinge; Mark Kuper
Related Documents :
19237399 - Negative pressure dressing for radiation-associated wound dehiscence after posterolater...
20204059 - A model of pressure distribution under peripherally secured foam dressings on a convex ...
7769739 - The effects of elevated compartment pressure on tibial arteriovenous flow and relations...
1417189 - The safety and effect of topically applied recombinant basic fibroblast growth factor o...
11979189 - Topical negative pressure for pressure ulcer management.
16083509 - Complications after cryosurgery with new miniature cryoprobes in long hollow bones: an ...
15637119 - Effects of extreme hemodilution with hemoglobin-based o2 carriers on microvascular pres...
16381259 - Induction-intubation response--smokers vs non-smokers--.
7615949 - Psychosocial predictors of hypertension in black and white africans.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of orthopaedic trauma     Volume:  24     ISSN:  1531-2291     ISO Abbreviation:  J Orthop Trauma     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807705     Medline TA:  J Orthop Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  364-8     Citation Subset:  IM    
Affiliation:
Orthopaedic Trauma Surgery, Harris Methodist Hospital, Ft. Worth, TX 76104, USA. ccollinge@msn.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Compartment Syndromes / diagnosis*
Extremities / injuries*
Humans
Manometry / instrumentation*,  methods
Reproducibility of Results
Trauma Centers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A biomechanical comparison of trochanteric nail proximal screw configurations in a subtrochanteric f...
Next Document:  Technical problems and complications in the removal of the less invasive stabilization system.