Factors Affecting the Tolerance of Muscle Circulation and Function for Increased Tissue Pressure

Matsen, F A; Wyss, C R; King, Racheal V.; Barnes, David S.; Simmons, Charles W.

doi:10.1097/00003086-198103000-00036

Cited by 16 publications

(13 citation statements)

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“…IMP recording commenced before the skin incision was made (preoperative value). An estimation of the intramuscular perfusion pressure (IPP) was derived by subtracting the IMP from the mean arterial pressure (IPP ϭ MAP Ϫ IMP) (8,9,21).…”

Section: Intramuscular Pressure Monitoringmentioning

confidence: 99%

“…IPP could be estimated as the difference between the two (8,9,21). Application of deep muscle retractors produced a rapid rise in IMP, which usually matched or exceeded the MAP.…”

Section: Figure 6 Graphs Showing Changes In Vas (A) and Odi (B) As Amentioning

confidence: 99%

“…Paravertebral muscles become compressed by self-retaining retractors used during posterior spinal surgery. The external pressure will impede local blood flow by increasing the intramuscular pressures (IMPs) (17,21). The application of prolonged muscle retraction at high pressures has been shown to produce injury to paraspinal muscles and nerves in animal models and human patients (16,26,28).…”

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confidence: 99%

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Back Pain and Disability After Lumbar Laminectomy: Is There a Relationship to Muscle Retraction?

et al. 2004

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The McCulloch retractor generates a higher IMP than the Norfolk and Norwich retractor. However, postoperative improvement in VAS, ODI, and SF-36 scores in these patients was associated with a shorter duration of muscle retraction and not the degree of IMP or IPP generated. In this respect, periodic relaxation of the paraspinal muscle retractors during surgery to allow muscle perfusion may help to reduce postoperative back pain and disability.

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Section: Intramuscular Pressure Monitoringmentioning

confidence: 99%

“…IPP could be estimated as the difference between the two (8,9,21). Application of deep muscle retractors produced a rapid rise in IMP, which usually matched or exceeded the MAP.…”

Section: Figure 6 Graphs Showing Changes In Vas (A) and Odi (B) As Amentioning

confidence: 99%

mentioning

confidence: 99%

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Back Pain and Disability After Lumbar Laminectomy: Is There a Relationship to Muscle Retraction?

et al. 2004

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“…Measurements of the intracompartmental pressure were taken in 5 time increments: (1) preoperatively; (2) intraoperatively; (3) postoperatively, immediately after skin closure; (4) 6 hours postoperatively; and (5) 24 hours postoperatively.…”

Section: Methodsmentioning

confidence: 99%

“…[1][2][3] In certain anatomic areas, a prolonged increase in pressure results in a vicious cycle of compromised local circulation, tissue damage, and further rise of intracompartmental pressure known as compartment syndrome. The development of such a condition within the fibrooseous sheath of the paraspinal muscles of the thoracolumbar spine has been proven in experimental models and reported in clinical cases.…”

mentioning

confidence: 99%

Perioperative Variations of the Intracompartmental Pressures of the Paraspinal Muscles

Symeonidis

Givissis²,

Christodoulou³

et al. 2013

Journal of Spinal Disorders &Amp; Techniques

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Microfluidics as a Powerful Tool to Investigate Microvascular Dysfunction in Trauma Conditions: A Review of the State‐of‐the‐Art

Bathrinarayanan,

Hallam,

Grover

et al. 2024

Advanced Biology

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Skeletal muscle trauma such as fracture or crush injury can result in a life‐threatening condition called acute compartment syndrome (ACS), which involves elevated compartmental pressure within a closed osteo‐fascial compartment, leading to collapse of the microvasculature and resulting in necrosis of the tissue due to ischemia. Diagnosis of ACS is complex and controversial due to the lack of standardized objective methods, which results in high rates of misdiagnosis/late diagnosis, leading to permanent neuro‐muscular damage. ACS pathophysiology is poorly understood at a cellular level due to the lack of physiologically relevant models. In this context, microfluidics organ‐on‐chip systems (OOCs) provide an exciting opportunity to investigate the cellular mechanisms of microvascular dysfunction that leads to ACS. In this article, the state‐of‐the‐art OOCs designs and strategies used to investigate microvasculature dysfunction mechanisms is reviewed. The differential effects of hemodynamic shear stress on endothelial cell characteristics such as morphology, permeability, and inflammation, all of which are altered during microvascular dysfunction is highlighted. The article then critically reviews the importance of microfluidics to investigate closely related microvascular pathologies that cause ACS. The article concludes by discussing potential biomarkers of ACS with a special emphasis on glycocalyx and providing a future perspective.

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Factors Affecting the Tolerance of Muscle Circulation and Function for Increased Tissue Pressure

Cited by 16 publications

References 0 publications

Back Pain and Disability After Lumbar Laminectomy: Is There a Relationship to Muscle Retraction?

Back Pain and Disability After Lumbar Laminectomy: Is There a Relationship to Muscle Retraction?

Perioperative Variations of the Intracompartmental Pressures of the Paraspinal Muscles

Microfluidics as a Powerful Tool to Investigate Microvascular Dysfunction in Trauma Conditions: A Review of the State‐of‐the‐Art

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