768 results match your criteria Compartment Pressure Measurement


Patient-specific cranio-spinal compliance distribution using lumped-parameter model: its relation with ICP over a wide age range.

Fluids Barriers CNS 2018 Nov 15;15(1):29. Epub 2018 Nov 15.

Department of Radiology, Ludwig-Maximilians University, 80539, Munich, Germany.

Background: The distribution of cranio-spinal compliance (CSC) in the brain and spinal cord is a fundamental question, as it would determine the overall role of the compartments in modulating ICP in healthy and diseased states. Invasive methods for measurement of CSC using infusion-based techniques provide overall CSC estimate, but not the individual sub-compartmental contribution. Additionally, the outcome of the infusion-based method depends on the infusion site and dynamics. Read More

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https://fluidsbarrierscns.biomedcentral.com/articles/10.1186
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http://dx.doi.org/10.1186/s12987-018-0115-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236958PMC
November 2018
9 Reads

Fasciotomy for Lateral Lower-leg Chronic Exertional Compartment Syndrome.

Int J Sports Med 2018 Dec 12;39(14):1081-1087. Epub 2018 Nov 12.

Máxima Medical Center, Surgery, Veldhoven, Netherlands.

Exercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). Anterior or deep posterior compartments are usually affected. Knowledge about CECS of the lateral compartment (lat-CECS) is limited and outcome after fasciotomy is unknown. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0640-9104
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http://dx.doi.org/10.1055/a-0640-9104DOI Listing
December 2018
7 Reads

Use of Oxygen Tissue Monitoring in Patients With Compartment Syndrome: Two Clinical Cases and Literature Review.

Mil Med 2018 Oct 27. Epub 2018 Oct 27.

Central Hospital of Defense "Gómez Ulla", Trauma and Orthopedic Surgery Department, Glorieta del Ejército s/n, Madrid, Spain.

Compartment syndrome is defined as the pathology caused by the increase of pressure within a muscular compartment to the point where the vascular perfusion necessary for the viability of the tissues included therein is reduced. The diagnosis is established by clinical exam and pressure measurement. Measurement of intracompartmental pressure is an invasive method with no option of easy continuous monitoring. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy270DOI Listing
October 2018
8 Reads

Population Pharmacokinetic Modeling of Azithromycin Eyedrops in Tears Following Single-Dose Topical Administration in Healthy Volunteers.

Eur J Drug Metab Pharmacokinet 2018 Oct 24. Epub 2018 Oct 24.

Department of Pharmacy, Peking University First Hospital, Beijing, China.

Background And Objectives: The disposition of azithromycin in the human eye following topical administration has not been fully explored. Population pharmacokinetic (PopPK) modeling can allow useful conclusions to be drawn based on limited tear sampling data. The aim of this study was therefore to develop and evaluate a PopPK model of azithromycin eyedrops in tears, investigate typical model parameters, and identify potential covariates following single-dose ocular instillation. Read More

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http://link.springer.com/10.1007/s13318-018-0522-6
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http://dx.doi.org/10.1007/s13318-018-0522-6DOI Listing
October 2018
3 Reads

Not Just Another "Found Down": Concomitant Upper Arm and Gluteal Compartment Syndrome.

J Emerg Med 2018 12 2;55(6):e137-e139. Epub 2018 Oct 2.

Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Background: Compartment syndrome is often considered in patients with long-bone fractures and soft-tissue injuries, but is not as commonly associated with a period of unconsciousness.

Case Report: A 65-year-old man was brought to our emergency department (ED) because he had lost consciousness for an unknown amount of time after snorting heroin. He had severe pain in his upper right arm. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.09.002DOI Listing
December 2018
8 Reads

Continuous Near-Infrared Spectroscopy Demonstrates Limitations in Monitoring the Development of Acute Compartment Syndrome in Patients with Leg Injuries.

J Bone Joint Surg Am 2018 Oct;100(19):1645-1652

Departments of Health Policy and Management (K.P.F. and E.M.) and Biostatistics (J.D. and V.Z.), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Background: We recorded measurements of muscle perfusion using near-infrared spectroscopy (NIRS) and intramuscular pressure (IMP) in a study designed to develop a decision rule for predicting acute compartment syndrome (ACS). The purpose of this study was to report our experience measuring NIRS data in the context of this broader investigation and to explore factors related to variations in data capture.

Methods: One hundred and eighty-five patients with lower-leg injuries had data consisting of continuous NIRS measurement of the O2 saturation in the anterior compartment of the injured limb and the contralateral (control) limb, and continuous IMP recording in the anterior and deep posterior compartments of the injured leg as part of their participation in an institutional review board-approved multicenter trial. Read More

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http://dx.doi.org/10.2106/JBJS.17.01495DOI Listing
October 2018
1 Read

The entity of thermal-crush-avulsion hand injury (hot-press roller burns) treated with fast acting debriding enzymes (nexobrid): literature review and report of first case.

Ann Burns Fire Disasters 2018 Mar;31(1):31

Department of Plastic Surgery and Burn Centre, University Hospital of Parma, Italy.

Hand burns are present in >60% of all burn cases and in fire mass casualty incidents even up to 100%. Most trauma and especially burns may be detrimental to the complex and delicate structures of the hand by direct injury, indirect BICS (Burn Induced Compartment Syndrome and interstitial high pressure) or by delayed or faulty treatment. BICS represents a special threat as the increasing swelling and oedema of the small diameter hand and forearm will exert pressure on the capillary/venous system, eventually ending in irreversible damage to the skin, nerves, muscle and vascular bed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116640PMC

[Comparative diagnostic value of various methods of intracavitary pressure measurement in abdominal compartment syndrome].

Khirurgiia (Mosk) 2018 (8):31-35

Municipal Clinical Hospital #30 of the Moscow District of Nizhny Novgorod, Nizhny Novgorod, Russia.

Aim: To investigate diagnostic value of various methods of biophysical somatic parameters (BSP) monitoring in peritonitis complicated by abdominal compartment syndrome.

Material And Methods: 220 patients with advanced peritonitis complicated by compartment syndrome were enrolled. Sensitivity, specificity, diagnostic value of the measurement of intraabdominal, intraintestinal, intrathoracic pressure, paravulnar tissues tension depending on abdominal hypertension severity were determined. Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia2018831DOI Listing
January 2018
11 Reads

Efficacy and Validation of a Simulation-Based Compartment Syndrome Instructional Course.

Iowa Orthop J 2018 ;38:113-121

University of Iowa Hospitals and Clinics Department of Orthopaedics and Rehabilitation.

Background: This study reports the validity and effectiveness of a simulation-based compartment syndrome instructional course.

Methods: Six post-graduation year one (PGY1) orthopaedic residents and six PGY5 residents participated in the study. All PGY1 residents participated in a four-hour compartment syndrome training simulation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047387PMC
December 2018
1 Read

Acute compartment syndrome in patients undergoing fasciotomy of the forearm and the leg.

Int Orthop 2018 Jul 27. Epub 2018 Jul 27.

Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.

Purposes: The primary objective of this study is to compare the likelihood of acute compartment syndrome in the leg versus the forearm in patients who undergo fasciotomy for a clinical diagnosis of suspected acute compartment syndrome. The secondary objective is to identify factors associated with higher likelihood of acute compartment syndrome or with the use of split-thickness skin graft in these patients.

Methods: We identified 449 patients diagnosed with suspected acute compartment syndrome of 468 legs and 119 patients diagnosed with suspected acute compartment syndrome of 119 forearms, treated with fasciotomy, from January 2000 to June 2015. Read More

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http://dx.doi.org/10.1007/s00264-018-4060-2DOI Listing
July 2018
2 Reads

Objective quantification of ligament balancing using VERASENSE in measured resection and modified gap balance total knee arthroplasty.

BMC Musculoskelet Disord 2018 Jul 27;19(1):266. Epub 2018 Jul 27.

Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-Ri, Hwasun-Eup, Hwasun-Gun, Jeonnam, 519-809, South Korea.

Background: Soft tissue balancing which is above all most important factor of total knee arthroplasty, has been performed by subjective methods. Recently objective orthosensor has been developed for compartment pressure measurement. The purpose of this study was: (1) to quantify the compartment pressure of the joint throughout the range of motion during TKA using orthosensor, (2) to determine the usefulness of orthosensor by analyzing correlation between the pressure in both compartment with initial trial and after final implantation, and (3) to evaluate the types and effectiveness of additional ligament balancing procedures to compartment pressure. Read More

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http://dx.doi.org/10.1186/s12891-018-2190-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064102PMC
July 2018
2 Reads

Microvascular (dys)Function in Stable Coronary Artery Disease: Cross Talk with Epicardial Segments.

Curr Pharm Des 2018 ;24(25):2900-2905

Emergency Clinical Hospital, Bucharest, Romania.

Myocardial ischemia is the consequence of an unbalance between coronary flow that can be achieved and myocardial metabolic needs. Pathological state of both epicardial and intramyocardial vessels may be responsible for inducing ischemia. However, revascularization decision should be based on the severity of each epicardial lesion that is evaluated. Read More

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http://dx.doi.org/10.2174/1381612824666180702113448DOI Listing
January 2018
1 Read

[Determination of intralenticular pressure in patients with intumescent cataract].

Vestn Oftalmol 2018 ;134(3):42-47

Derzhavin Tambov State University, Medical Institute, 93 Sovetskaya St., Tambov, Russian Federation, 392000.

When the lens swells, a liquefied lenticular substance that increases intralenticular pressure accumulates in the lens bag making it difficult to perform standard capsulorhexis. Thus, determination of the intralenticular pressure value is of great importance for safe intumescent cataract phacoemulsification.

Purpose: To develop a technology for intralenticular pressure measurement in patients with intumescent cataract and to construct a mathematical model for its prognosis according to preoperative examination data. Read More

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http://dx.doi.org/10.17116/oftalma2018134342DOI Listing
January 2018
6 Reads

Is intra-bladder pressure measurement a reliable indicator for raised intra-abdominal pressure? A prospective comparative study.

BMC Anesthesiol 2018 06 19;18(1):69. Epub 2018 Jun 19.

Department of Urology, Saqr Hospital, Ras Al Khaimah, United Arab Emirates.

Background: Intra-abdominal pressure (IAP) can be measured by several indirect methods; however, the urinary bladder is largely preferred. The aim of this study was to compare intra-bladder pressure (IBP) at different levels of IAPs and assess its reliability as an indirect method for IAP measurement.

Methods: We compared IBP with IAP in twenty-one patients undergoing laparoscopic cholecystectomy under general anesthesia. Read More

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http://dx.doi.org/10.1186/s12871-018-0539-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009941PMC
June 2018
3 Reads

A novel balloon technique to induce intra-abdominal hypertension and its effects on cardiovascular parameters in a conscious dog model.

J Vet Emerg Crit Care (San Antonio) 2018 Jul 13;28(4):326-333. Epub 2018 Jun 13.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Seoul National University, Seoul, 08826, Korea.

Objective: To evaluate a new balloon technique to induce intra-abdominal hypertension (IAH) and abdominal compartment syndrome in a conscious dog model, and to evaluate the effect of intra-abdominal pressure (IAP) on cardiovascular, respiratory, and arterial blood gas values in conscious dogs with IAH.

Design: Prospective, experimental study.

Setting: University-based small animal research facility. Read More

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http://dx.doi.org/10.1111/vec.12730DOI Listing
July 2018
4 Reads

Effect of abdominal negative-pressure wound therapy on the measurement of intra-abdominal pressure.

J Surg Res 2018 Jul 15;227:112-118. Epub 2018 Mar 15.

Department of Surgery, University of Pittsburgh, UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania.

Background: In critically ill surgical patients undergoing abdominal negative-pressure wound therapy (NPWT), it remains uncertain whether or not intra-abdominal pressure (IAP) measurements should be obtained when NPWT is activated. We aimed to determine agreement between IAP measured with and without NPWT.

Methods: In this analytic cross-sectional study, critically ill surgical adults (≥18 y) requiring abdominal NPWT for temporary abdominal closure after a damage control laparotomy were selected. Read More

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http://dx.doi.org/10.1016/j.jss.2018.02.030DOI Listing
July 2018
2 Reads

Barefoot plantar pressure measurement in Chronic Exertional Compartment Syndrome.

Gait Posture 2018 06 9;63:10-16. Epub 2018 Apr 9.

Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre, Headley Court, Epsom, Surrey, KT18 6JW, United Kingdom; Leeds Institute of Molecular Medicine, University of Leeds, St James's University Hospital, Leeds, LS9 7TF, United Kingdom.

Background: Patients with Chronic Exertional Compartment Syndrome (CECS) have exercise-limiting pain that subsides at rest. Diagnosis is confirmed by intramuscular compartment pressure (IMCP) measurement. Accompanying CECS, subjective changes to gait (foot slap) are frequently reported by patients. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2018.04.009DOI Listing
June 2018
3 Reads

Effects of anterior compartment fasciotomy on intramuscular compartment pressure in patients with chronic exertional compartment syndrome.

J R Army Med Corps 2018 Sep 24;164(5):338-342. Epub 2018 Apr 24.

Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre, Epsom, UK.

Background: Patients with chronic exertional compartment syndrome (CECS) have pain during exercise that usually subsides at rest. Diagnosis is usually confirmed by measurement of intramuscular compartment pressure (IMCP) following exclusion of other possible causes. Management usually requires fasciotomy but reported outcomes vary widely. Read More

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http://dx.doi.org/10.1136/jramc-2017-000895DOI Listing
September 2018
1 Read

Thenar Compartment Syndrome: What If a Compartment Pressure Measuring Device is Absent?

Cureus 2018 Feb 16;10(2):e2197. Epub 2018 Feb 16.

Department of Orthopaedics and Traumatology, SANKO University, Faculty of Medicine, Gaziantep, Turkey.

Compartment syndrome (CS) is a threatening condition characterized by excessive tissue pressure accumulation associated with acute trauma. Compartment syndrome causes a significant reduction in blood flow with subsequent muscle and nerve ischemic necrosis. Recently, reports have described the importance of intramuscular pressure measurements as a basis for CS diagnosis. Read More

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http://dx.doi.org/10.7759/cureus.2197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902093PMC
February 2018
1 Read

Two cases of unidentified acute compartment syndrome.

BMJ Case Rep 2018 Apr 1;2018. Epub 2018 Apr 1.

Department of Hand Surgery, Nagoya University, Nagoya, Japan.

Acute compartment syndrome (ACS) is a surgical emergency that requires urgent fasciotomy to prevent irreversible sequelae. We report two cases of unidentified ACS, which did not result from traumatic injuries such as fractures or crush injury, iatrogenic injury or diseases such as haematological malignancies. Both patients complained of severe pain and swelling of their extremity. Read More

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http://dx.doi.org/10.1136/bcr-2017-222377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884265PMC
April 2018
3 Reads

Intra-Abdominal Hypertension Is More Common Than Previously Thought: A Prospective Study in a Mixed Medical-Surgical ICU.

Crit Care Med 2018 Jun;46(6):958-964

Departments of Medicine and Epidemiology and Biostatistics, Western University, London, ON, Canada.

Objectives: To determine the prevalence of intra-abdominal hypertension in mixed medical-surgical critically ill patients using modern definitions and measurement techniques. Secondarily to determine variables associated with intra-abdominal hypertension and ICU mortality.

Design: A prospective observational study. Read More

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http://Insights.ovid.com/crossref?an=00003246-201806000-0001
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http://dx.doi.org/10.1097/CCM.0000000000003122DOI Listing
June 2018
8 Reads

[Chronic Compartment Syndrome].

Sportverletz Sportschaden 2018 03 20;32(1):47-54. Epub 2018 Mar 20.

Swiss Olympic Medical Center, Crossklinik, Basel.

Chronic compartment syndromes are a rare, but frequently overlooked cause of pain in the locomotor system. Their aetiology is still not fully elucidated. There is an imbalance of muscle volume and space in the compartment. Read More

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http://dx.doi.org/10.1055/s-0044-100849DOI Listing

Lower Leg Chronic Exertional Compartment Syndrome in Patients 50 Years of Age and Older.

Orthop J Sports Med 2018 Mar 2;6(3):2325967118757179. Epub 2018 Mar 2.

Department of Surgery, Máxima Medical Center, Veldhoven, the Netherlands.

Background: Lower leg chronic exertional compartment syndrome (CECS) is usually diagnosed in young and athletic individuals. The presence of CECS in older patients has received little attention in the literature, and patient characteristics are unknown.

Purpose: To determine the prevalence of CECS in older patients (≥50 years) and to assess whether older patients with CECS differ clinically from younger patients with CECS. Read More

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http://dx.doi.org/10.1177/2325967118757179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843108PMC
March 2018
2 Reads

Acute Compartment Syndrome of the Foot Due To Frostbite: Literature Review and Case Report.

J Foot Ankle Surg 2018 Mar - Apr;57(2):382-387

Director and Assistant Professor, Podiatric Medicine and Surgery Residency, University of Pittsburgh Medical Center Mercy, Department of Orthopedic Surgery, University Pittsburgh School of Medicine, Pittsburgh, PA.

Acute compartment syndrome of the foot and ankle is a relatively rare clinical finding. Lower extremity compartment syndrome is customarily due to vascular or orthopedic traumatic limb-threatening pathologic issues. Clinical correlation and measurement of intracompartmental pressure are paramount to efficient diagnosis and treatment. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.07.005DOI Listing
September 2018
3 Reads

Effect of retension sutures on abdominal pressure after abdominal surgery.

Chin J Traumatol 2018 Feb 31;21(1):20-26. Epub 2018 Jan 31.

Trauma Center, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing 400042, China. Electronic address:

Purpose: To evaluate the effect of retention sutures on abdominal pressure and postoperative prognosis in abdominal surgery patients.

Methods: This prospective cohort study included patients who were admitted to Daping Hospital from May 15, 2014 to October 11, 2014. A total of 57 patients were enrolled, including 18 patients in the "U" type retention suture group, 17 patients in the intermittent retention suture group, and 22 patients in non-retention suture group. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275173020
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http://dx.doi.org/10.1016/j.cjtee.2017.08.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114125PMC
February 2018
4 Reads

Acute lumbar paraspinal compartment syndrome: a systematic review.

ANZ J Surg 2018 Sep 8;88(9):854-859. Epub 2018 Jan 8.

Department of Plastic Surgery, Monash Health, Melbourne, Victoria, Australia.

While still a rare entity, acute lumbar paraspinal compartment syndrome has an increasing incidence. Similar to other compartment syndromes, acute lumbar paraspinal compartment syndrome is defined by raised pressure within a closed fibro-osseous space, limiting tissue perfusion within that space. The resultant tissue ischaemia presents as acute pain, and if left untreated, it may result in permanent tissue damage. Read More

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http://dx.doi.org/10.1111/ans.14342DOI Listing
September 2018
6 Reads

A counterforce to diversion of cerebrospinal fluid during ventriculoperitoneal shunting: the intraperitoneal pressure. An observational study.

Acta Neurochir (Wien) 2018 Mar 29;160(3):519-524. Epub 2017 Dec 29.

Department of Neurosurgery, University Hospital of Göttingen, 37075, Göttingen, Germany.

Background: Intraperitoneal pressure (IPP) counteracts the diversion of cerebrospinal fluid (CSF) from the cranial to the peritoneal compartment during ventriculoperitoneal shunting. Animal studies suggest that the intrinsic IPP exceeds the intraperitoneal hydrostatic pressure. The intrinsic IPP in mobile patients is relevant for shunt therapy, but data about it is not available. Read More

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http://dx.doi.org/10.1007/s00701-017-3439-yDOI Listing
March 2018
6 Reads

Management of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement.

Reprod Med Biol 2017 01 30;16(1):72-76. Epub 2016 Nov 30.

Department of Obstetrics and Gynecology Gifu University Gifu Japan.

There are few reports on abdominal compartment syndrome that are caused by ovarian hyperstimulation syndrome (OHSS). Here, a case of a 29 year old woman is reported in which intravesical pressure measurement was useful in the management of severe OHSS that had been complicated by abdominal compartment syndrome. The patient's urinary output and general condition did not improve after the initial treatment. Read More

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http://dx.doi.org/10.1002/rmb2.12005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5715873PMC
January 2017
7 Reads

Compression sonography for non-invasive measurement of lower leg compartment pressure in an animal model.

Injury 2018 Mar 27;49(3):532-537. Epub 2017 Nov 27.

Department of Orthopedic Surgery, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010 Bern, Switzerland. Electronic address:

Introduction: Compression ultrasound is a non-invasive technique allowing for qualitative visualization and quantitative measurements of mechanical tissue properties. In acute compartment syndrome (ACS), cadaver studies have proven that the intra-compartmental pressure (ICP) measured by compression sonography correlates with the ICP measured invasively. This study aimed to evaluate compression sonography for compartment pressure measurements in an animal model. Read More

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http://dx.doi.org/10.1016/j.injury.2017.11.036DOI Listing
March 2018
7 Reads

Modern imaging techniques in intra-abdominal hypertension and abdominal compartment syndrome: a bench to bedside overview.

Anaesthesiol Intensive Ther 2018 24;50(3):234-242. Epub 2017 Nov 24.

Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland.

Intra-abdominal hypertension (IAH) is common in critically ill patients. Diagnosis is based on measurement of intraabdominal pressure, most commonly via the bladder. Modern imaging techniques with plain radiographs, computed tomography and magnetic resonance can help establish the diagnosis and also guide treatment. Read More

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http://dx.doi.org/10.5603/AIT.a2017.0076DOI Listing
November 2017
6 Reads

Step-wise medial collateral ligament needle puncturing in extension leads to a safe and predictable reduction in medial compartment pressure during TKA.

Knee Surg Sports Traumatol Arthrosc 2018 Jun 22;26(6):1759-1766. Epub 2017 Nov 22.

Center for Hip and Knee Replacement, Columbia University Medical Center, 622 West 168th Street, PH 1147, New York, NY, 10032, USA.

Purpose: Medial soft tissue release in a varus deformity knee during total knee arthroplasty is essential for accurate balancing of the reconstruction. This study attempts to quantify the effect of sequential needle puncturing of the medial collateral ligament (MCL) using a pressure sensor insert (Verasense by OrthoSensor) and gap measurement under tension.

Methods: Cruciate-retaining arthroplasties were placed in 14 cadaveric knees. Read More

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http://dx.doi.org/10.1007/s00167-017-4777-2DOI Listing
June 2018
3 Reads

Factors Predicting Lower Leg Chronic Exertional Compartment Syndrome in a Large Population.

Int J Sports Med 2018 Jan 10;39(1):58-66. Epub 2017 Nov 10.

Máxima Medical Center, Surgery, Veldhoven, the Netherlands.

Knowledge about lower leg chronic exertional compartment syndrome (CECS) is largely obtained from highly selected populations. Patient characteristics may therefore not be appropriate for the general population. Our purpose was to describe a heterogeneous population of individuals suspected of lower leg CECS and to identify predictors of CECS. Read More

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http://dx.doi.org/10.1055/s-0043-119225DOI Listing
January 2018
7 Reads

Intra-abdominal Pressure Monitoring in Open Abdomen Management with Dynamic Abdominal Closure.

Indian J Surg 2017 Oct 13;79(5):384-389. Epub 2016 May 13.

General Surgery Department, Medical Park Private Hospital, Ankara, Turkey.

The importance of elevated intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) have been recognized in critical care for its potential damaging effects. But, quantification of IAP values may be useful as a clinical tool for determining efficacy of coughing and straining for functional recovery of OA patients. We would like to evaluate IAP generated in an OA patient and the effect of negative pressure therapy (NPT) and dynamic abdominal closure systems (ABRA) on the IAP values at rest and during coughing and straining and compare those with IAP measurements of closed abdomen after standard open elective colorectal surgery (non-OA). Read More

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http://dx.doi.org/10.1007/s12262-016-1491-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653569PMC
October 2017
4 Reads

Hypoxic renal injury in newborns with abdominal compartment syndrome (clinical and experimental study).

Pediatr Res 2018 02 15;83(2):520-526. Epub 2017 Nov 15.

Department of Pathophysiology, Sechenov First Moscow State Medical University, Moscow, Russia.

BackgroundSurgical treatment for gastroschisis and congenital diaphragmatic hernia (CDH) commonly leads to abdominal compartment syndrome (ACS) associated with hypoxic renal injury. We hypothesized that measurement of urinary and serum concentrations of vascular endothelial growth factor (VEGF), π-glutathione S-transferase (π-GST), and monocyte chemoattractant protein-1 (MCP-1) may serve for noninvasive detection of hypoxic renal injury in such patients.MethodsIntra-abdominal pressure (IAP), renal excretory function, and the biomarker levels were analyzed before, 4, and 10 days after surgery. Read More

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http://dx.doi.org/10.1038/pr.2017.263DOI Listing
February 2018
7 Reads

Long-Term Outcome of Mini-Open Surgical Decompression for Chronic Exertional Compartment Syndrome of the Forearm in Professional Motorcycling Riders.

Clin J Sport Med 2017 Oct 10. Epub 2017 Oct 10.

Clinica Mobile nel Mondo, World Motorbike Championships (MotoGP & WSBK) Medical Division, Parma, Italy.

Objective: To evaluate results of mini-open fasciotomy (MOF) in high-level motorcycling or motocross riders with chronic exertional compartment syndrome (CECS) at long-term follow-up (minimum 5 years).

Design: Case series.

Level Of Evidence: IV. Read More

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http://Insights.ovid.com/crossref?an=00042752-900000000-9928
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http://dx.doi.org/10.1097/JSM.0000000000000539DOI Listing
October 2017
7 Reads

The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study.

Turk J Obstet Gynecol 2017 Jun 15;14(2):121-127. Epub 2017 Jun 15.

Abant İzzet Baysal University, School of Kemal Demir Physical Therapy and Rehabilitation, Bolu, Turkey.

Objective: This retrospective research was planned to investigate the effect of pelvic organ prolapse (POP) type on sexual function, muscle strength, and pelvic floor symptoms in symptomatic women.

Materials And Methods: Data on POP type and stages as assessed using the Pelvic Organ Prolapse-Quantification system of 721 women who presented to the women's health unit between 2009 and 2016 were collected retrospectively. POP types were recorded as asymptomatic, anterior, apical, and posterior compartment prolapses. Read More

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http://dx.doi.org/10.4274/tjod.45722DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558412PMC
June 2017
5 Reads

Muscle Microvascular Blood Flow, Oxygenation, pH, and Perfusion Pressure Decrease in Simulated Acute Compartment Syndrome.

J Bone Joint Surg Am 2017 Sep;99(17):1453-1459

1Department of Orthopaedic Surgery, UC San Diego Medical Center, University of California, San Diego, San Diego, California.

Background: The current gold standard for diagnosing acute compartment syndrome (ACS) is an assessment of clinical signs, invasive measurement of intramuscular pressure (IMP), and measurement of local perfusion pressure. However, IMP measurements have several shortcomings, including pain, risk of infection, risk of technique error, plugging of the catheter tip, lack of consensus on the diagnostic pressure threshold, and lack of specificity and sensitivity. The objective of this study was to evaluate muscle hemodynamics, oxygenation, and pH as diagnostic parameters in a human model of ACS. Read More

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http://dx.doi.org/10.2106/JBJS.16.01191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685422PMC
September 2017
3 Reads

TRest as a New Diagnostic Variable for Chronic Exertional Compartment Syndrome of the Forearm: A Prospective Cohort Analysis of 124 Athletes.

Clin J Sport Med 2018 Nov;28(6):516-523

Orthopedic Surgery Department, Pediatric Upper Extremity Surgery and Microsurgery, Hospital Sant Joan De Deu, Barcelona, Spain.

Objectives: To measure the accuracy of currently used intracompartmental pressure (ICP) diagnostic variables for forearm chronic exertional compartment syndrome (CECS) and a new ICP diagnostic variable, TRest, the recovery time between the maximum ICP and return to resting pressure.

Design: Retrospective cohort. Level evidence IV. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000482DOI Listing
November 2018
10 Reads

Canthal cutdown for emergent treatment of orbital compartment syndrome.

Orbit 2017 Oct 16;36(5):285-292. Epub 2017 Aug 16.

a Department of Ophthalmology , Ohio University Doctors Hospital , Columbus , Ohio , USA.

This article evaluates the use of a "canthal cutdown" technique in orbital compartment syndrome in a cadaveric model. Twelve cadaver orbits were used to simulate orbital compartment syndrome using a blood analog solution. Two pressure probes, in different orbital locations, were used to monitor orbital pressure. Read More

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http://dx.doi.org/10.1080/01676830.2017.1337175DOI Listing
October 2017
2 Reads

Clinical and radiographic predictors of acute compartment syndrome in the treatment of tibial plateau fractures: a retrospective cohort study.

BMC Musculoskelet Disord 2017 Jul 18;18(1):307. Epub 2017 Jul 18.

Department of Surgery, Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, 4 Rue Gabrielle-Perret-Gentil, CH-1211, Geneva 14, Switzerland.

Background: The aim of the study was to evaluate the relation between demographic, injury-related, clinical and radiological factors of patients with tibial plateau fractures and the development of acute compartment syndrome.

Methods: All consecutive adult patients with intra-articular tibial plateau fractures admitted in our urban academic medical centre between January 2005 and December 2009 were included in this retrospective cohort study. The main outcome measurement was the development of acute compartment syndrome. Read More

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http://dx.doi.org/10.1186/s12891-017-1680-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516309PMC
July 2017
7 Reads

The Role of Routine Measurement of Intra-abdominal Pressure in Preventing Abdominal Compartment Syndrome.

J Indian Assoc Pediatr Surg 2017 Jul-Sep;22(3):134-138

Department of Paediatric Surgery, Deccan College of Medical Sciences, Princess Esra Hospital, Hyderabad, Telangana, India.

Introduction: Abdomen, a closed compartment, is prone to raised intra-abdominal pressure (IAP) in the postoperative period. After a critical value of ≥ 15 cm of water, IAP produces abdominal compartment syndrome (ACS). ACS leads to reduced venous return, reduced cardiac output, and domino effect of organ dysfunction, leading to death. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_222_15DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473297PMC
July 2017
21 Reads

Monitoring Cerebral and Renal Oxygenation Status during Neonatal Digestive Surgeries Using Near Infrared Spectroscopy.

Front Pediatr 2017 14;5:140. Epub 2017 Jun 14.

Plastic Reconstructive Surgery and Anesthesiology, CHU of Reims Hôpital Maison Blanche, Reims, France.

Background: Depending on the initial pathology, hypovolemia, intra-abdominal hypertension, and sepsis are often encountered in neonatal digestive surgery. Accurate newborn monitoring during and after surgery is essential to adapt resuscitation protocols. Near infrared spectroscopy (NIRS) is non-invasive and can detect hypoperfusion which indicates a low circulatory blood flow, regardless of the cause. Read More

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http://dx.doi.org/10.3389/fped.2017.00140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469885PMC
June 2017
13 Reads

Role of Repeat Muscle Compartment Pressure Measurements in Chronic Exertional Compartment Syndrome of the Lower Leg.

Orthop J Sports Med 2017 Jun 9;5(6):2325967117711121. Epub 2017 Jun 9.

Department of Surgery, Máxima Medical Center, Eindhoven/Veldhoven, the Netherlands.

Background: The diagnostic gold standard for diagnosing chronic exertional compartment syndrome (CECS) is a dynamic intracompartmental pressure (ICP) measurement of the muscle. The potential role of a repeat ICP (re-ICP) measurement in patients with persistent lower leg symptoms after surgical decompression or with ongoing symptoms after an earlier normal ICP is unknown.

Purpose: To study whether re-ICP measurements in patients with persistent CECS-like symptoms of the lower leg may contribute to the diagnosis of CECS after both surgical decompression and a previously normal ICP measurement. Read More

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http://dx.doi.org/10.1177/2325967117711121DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468764PMC
June 2017
16 Reads

Calf Compartment Syndrome associated with the Use of an Intra-osseous Line in an Adult Patient: A Case Report.

Malays Orthop J 2016 Nov;10(3):49-51

Department of Orthopaedics, National University Hospital Singapore, Singapore.

We present a case of a lower limb compartment syndrome associated with the use of an intra-osseous line inserted into the proximal tibia in an adult patient. An unconscious 59-year old male with multiple injuries presented to our Emergency Department after a road traffic accident. Bilateral proximal tibial intra osseous-lines were inserted due to poor venous access. Read More

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http://dx.doi.org/10.5704/MOJ.1611.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333686PMC
November 2016
7 Reads

Noninvasive optical monitoring of critical closing pressure and arteriole compliance in human subjects.

J Cereb Blood Flow Metab 2017 Aug 25;37(8):2691-2705. Epub 2017 May 25.

2 Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, USA.

The critical closing pressure ( CrCP) of the cerebral circulation depends on both tissue intracranial pressure and vasomotor tone. CrCP defines the arterial blood pressure ( ABP) at which cerebral blood flow approaches zero, and their difference ( ABP -  CrCP) is an accurate estimate of cerebral perfusion pressure. Here we demonstrate a novel non-invasive technique for continuous monitoring of CrCP at the bedside. Read More

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http://dx.doi.org/10.1177/0271678X17709166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536813PMC
August 2017
23 Reads

Compartment syndrome and regional anaesthesia: Critical review.

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2017 Sep 24;161(3):242-251. Epub 2017 May 24.

Department of Orthopaedic Surgery, Faculty of Medicine, Masaryk University and University Hospital Brno, Jihlavska 20, 625 00 Brno, Czech Republic.

Acute compartment syndrome (ACS) is a potential orthopaedic/traumatology emergency. Without prompt, precise diagnosis and immediate treatment with surgical decompressive fasciotomy it can lead to neurological dysfunction and disability. The role of regional anaesthesia (RA) in patients at risk for ACS/ and in those with developed ACS is controversial. Read More

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http://dx.doi.org/10.5507/bp.2017.025DOI Listing
September 2017
14 Reads

Acute compartment syndrome.

Authors:
Andrew H Schmidt

Injury 2017 Jun 24;48 Suppl 1:S22-S25. Epub 2017 Apr 24.

Department of Orthopaedic Surgery, Hennepin County Medical Center, University of Minnesota, 701 Park Ave. South, Mailcode G2, Minneapolis, MN, USA. Electronic address:

Acute compartment syndrome is a well-known complication of tibial fractures, yet it remains difficult to diagnose and the only effective treatment is surgical fasciotomy. Delayed fasciotomy is the most important factor contributing to poor outcomes, and as a result, treatment is biased towards performing early fasciotomy. Current diagnosis of ACS is based on clinical findings and intramuscular pressure (IMP) measurement, and is targeted at identifying safe thresholds for when fasciotomy can be avoided. Read More

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http://dx.doi.org/10.1016/j.injury.2017.04.024DOI Listing
June 2017
20 Reads

Compartment Pressure Monitoring After Thyroid Surgery: A Possible Method to Detect a Rebleeding.

World J Surg 2017 09;41(9):2290-2297

Department of Surgery, Krankenhaus Agatharied, Norbert Kerkel Platz, 83734, Hausham, Germany.

Background: Postoperative rebleeding after thyroid surgery is a rare but a serious complication. The aim of this study was to ascertain the extent to which postoperative pressure could be used as detector for rebleeding after thyroid surgery.

Methods: Thirty-two patients with thyroidectomy or hemithyroidectomy were considered prospectively. Read More

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http://dx.doi.org/10.1007/s00268-017-4020-9DOI Listing
September 2017
4 Reads

Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique.

Malays Orthop J 2016 Mar;10(1):1-4

Government Royapettah Hospital, Chennai, India.

Acute Compartment Syndrome is a limb-threatening emergency and it occurs most commonly after fractures. The aim of our study is to find out the effectiveness of serial measurement of differential pressure in closed tibial diaphyseal fractures, in diagnosing acute compartment syndrome, using Whiteside's technique. A total of 52 cases in the age group of 15 to 55 years admitted with closed fractures were studied for serial compartment pressure as well as serial differential pressure. Read More

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http://dx.doi.org/10.5704/MOJ.1603.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333695PMC
March 2016
13 Reads

Rapid, low cost prototyping of transdermal devices for personal healthcare monitoring.

Sens Biosensing Res 2017 Apr;13:104-108

Department of Chemistry & Institute of Biomedical Engineering, Exhibition Road, South Kensington Campus, Imperial College London, SW7 2AZ, UK.

The next generation of devices for personal healthcare monitoring will comprise molecular sensors to monitor analytes of interest in the skin compartment. Transdermal devices based on microneedles offer an excellent opportunity to explore the dynamics of molecular markers in the interstitial fluid, however good acceptability of these next generation devices will require several technical problems associated with current commercially available wearable sensors to be overcome. These particularly include reliability, comfort and cost. Read More

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http://dx.doi.org/10.1016/j.sbsr.2016.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384990PMC
April 2017
11 Reads