Clinical cases, research, and data to inform, educate, and acknowledge the critical work you do.
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 …
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 …
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 …
March 27, 2020
Data shows 6% of all malpractice claims against orthopaedic surgeons are ACS related with 50% ruled in favor of the patient versus 25% of overall claims against the same group. It also showed a linear relationship between the number of cardinal signs and the time from presentation to fasciotomy and payment size. Late or missed …
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 …
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 …