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Diagnosing Compartment Syndrome 

August 7, 2020

If the diagnosis is in question, it is imperative to obtain clinical compartment pressures. Prompt emergency department diagnosis by measuring compartment pressures, using a  STIC pressure monitor, is essential to minimizing patient morbidity and disability in this life-threatening condition. Abstract Compartment syndrome can develop in numerous compartments throughout the body, although it is commonly found in compartments within the arms and legs. Generally, fractures are the cause of

The Dreaded Acute Compartment Syndrome 

July 21, 2020

Pain is one of the earliest findings in patients who have acute compartment syndrome, but findings on history and exam cannot rule out the diagnosis. The measurement of intra-compartmental pressures using a [STIC Intra-Compartmental] pressure monitor is the most reliable test. Abstract Acute compartment syndrome, otherwise known as a surgical emergency, is most common in patients 35 years or older and males

Pressure Measurement: Surrogate of Ischemia

May 1, 2020

United States trauma surgeons reported that the clinical assessment using the intra-compartmental pressure monitor, should be utilized in the awake patient and continuous monitoring using the slit catheter is recommended in the obtunded or unconscious patient. Abstract The incidence of acute compartment syndrome is documented to be 3.1 per 100,000 population/year. Males are more frequently

Acute Compartment Syndrome of the Limb

April 7, 2020

Monitoring of the intra-compartmental pressure should be routine in any unconscious, sedated and uncooperative patient. If the delta pressure remains less than 30 mmHg, in the presence of clinical signs and despite conservative measures, fasciotomy should be performed as an emergency to preserve the function of the limb. Abstract Whitesides introduced the concept that the

Diagnosing Acute Compartment Syndrome – Where Have We Got To?

March 20, 2020

The most common threshold used by clinicians when assessing compartment pressures remains the delta pressure. The delta pressure is the result of the diastolic blood pressure minus the intra-compartmental pressure found when measuring the pressure with a [STIC Intra-Compartmental] pressure monitor. Abstract A significant amount of work has been put into developing modalities of diagnosing

Acute Compartment Syndrome after an Olecranon Fracture in a Patient with Mild Hemophilia B

March 13, 2020

Failure to recognize compartment syndrome in even mild forms can lead to irreversible tissue necrosis within 6h resulting in the loss of function, neurologic deficits, and limb amputations. The management of acute compartment syndrome in patients with hemophilia requires timely recognition, replacement of clotting factors, and emergent fasciotomies. Abstract Acute compartment syndrome is a serious

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