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Comparing the methods of measuring compartment pressures in acute compartment syndrome
Annemarie Uliasz1, Jay T Ishida, Jason K Fleming
1Department of Pediatrics, University of Hawaii John A. Burns School of Medicine, Kapiolani Medical Center for Women and Children, Honolulu, Hawaii 96826, USA.
Abstract:
The objectives of this study were to compare the reliability and accuracy of published methods of measuring intramuscular compartment pressures. A muscle compartment model was constructed. Pressure was standardized using a water column exerting pressure on a muscle slab. The following three methods of intracompartmental pressure were used to measure the pressure within the muscle slab of the model: (1) Stryker, (2) manometric IV pump, and (3) Whitesides method. The Stryker and IV pump methods were similarly accurate compared with the "standard pressure." The Whitesides method was not reliable in measuring a reproducible pressure. The IV pump method is comparable to the Stryker instrument in terms of accuracy and ease of use. If a Stryker instrument is unavailable, the IV pump method can serve as a suitable and satisfactory alternative.