Compartment syndrome

• Suspect if limb is tender or painful and peripheries are cool. Loss of peripheral pulses and tense muscles are late signs.

• Manometry in muscle compartments reveal pressures >20-25mmHg.

• Arm, legs and buttock compartments may be affected.

• Management involves either prophylactic fasciotomies if at high risk or close monitoring (including regular manometry) with decompression if pressures exceed 20-25mmHg.

• Fasciotomies may result in major blood loss.

0 0

Post a comment