Intracompartmental Pressure Monitoring Using a Handheld Pressure Monitoring System

Halanski, Matthew A.; Morris, Michael; Harper, Benjamin L.; Doro, Christopher

doi:10.2106/jbjs.st.n.00020

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…In some cases, neurovascular assessment is complemented with a measurement of compartment pressure (CP) or perfusion pressure (Δ p ). ,− CP measurements can be done using a simple arterial line transducer or with proprietary devices; for example, the C2Dx STIC pressure monitor (formerly the Stryker monitor) or the Millar Solid State Pressure Sensor. In practice, CP measurements are not widely used due to the high costs involved with the proprietary devices and the pain originating from the insertion of large (18 gauge) needles.…”

mentioning

confidence: 99%

Portable Oxygen-Sensing Device for the Improved Assessment of Compartment Syndrome and other Hypoxia-Related Conditions

et al. 2020

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Measurement of intramuscular oxygen could play a key role in the early diagnosis of acute compartment syndrome, a common condition occurring after severe trauma leading to ischemia and long-term consequences including rhabdomyolysis, limb loss, and death. However, to date, there is no existing oxygen sensor approved for such a purpose. To address the need to improve the assessment of compartment syndrome, a portable fiber-optic device for intramuscular oxygen measurements was developed. The device is based on phosphorescence quenching, where the tip of an optical fiber was coated with a poly(propyl methacrylate) (PPMA) matrix containing a brightly emitting Pt(II)-core porphyrin. The optoelectronic circuit is highly portable and is based on a microspectrometer and a microcontroller readout with a smartphone. Results from an in vivo tourniquet porcine model show that the sensor is sensitive across the physiological oxygen partial pressure range of 0–80 mmHg and exhibits an appropriate and reproducible response to changes in intramuscular oxygen. A commercial laboratory oxygen sensor based on a lifetime measurement did not respond as expected.

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confidence: 99%

Portable Oxygen-Sensing Device for the Improved Assessment of Compartment Syndrome and other Hypoxia-Related Conditions

et al. 2020

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“…La elevación significativa (> 1,000 mg/l) de esta enzima puede indicar la administración profiláctica de esteroides sistémicos 40 . El diagnóstico de síndrome compartimental es primordialmente clínico y requiere el manejo inmediato con fasciotomía; sin embargo, el seguimiento postoperatorio puede apoyarse de la medición de la presión intracompartimental 40,56 . Se recomienda realizar la monitorización por al menos 24 h o hasta que se observe una disminución consistente de la presión y un incremento del diferencial de presión 57 .…”

Section: Complicaciones Postoperatoriasunclassified

Consideraciones perioperatorias en el paciente oncológico sometido a perfusión aislada de la extremidad

Cuéllar-Guzmán¹,

Ferretiz-López²,

Cárdenas-Herrera³

2022

GAMO

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Gaceta Mexicana de Oncologia. 2017;16(5):289-294 Resumen La perfusión aislada de la extremidad (PAE) y la perfusión hipertérmica aislada de la extremidad (PHAE) son procedimientos utilizados para el tratamiento de diversos tumores localizados en las extremidades (primordialmente melanoma y tumores de tejidos blandos), inducen una elevada tasa de respuesta tumoral y se asocian a una elevada tasa de salvamento de la extremidad, representando una alternativa a la amputación. Se trata de procedimientos complejos y con una elevada dificultad técnica que requieren del esfuerzo de todo un equipo multidisciplinario (cirujano, anestesiólogo, enfermera, perfusionista e intensivista). Los cambios hemodinámicos, la fuga de los fármacos a través de vasos colaterales, su toxicidad local y sistémica, así como las potenciales complicaciones, requieren de la monitorización continua e invasiva durante el procedimiento y de una estrecha vigilancia posquirúrgica. El propósito de este artículo de revisión fue analizar las pautas para el abordaje perioperatorio del paciente oncológico que se somete a este procedimiento. (creativecommons.org/licenses/by-nc-nd/4.0/). abstract Isolated limb perfusion (ILP) and hyperthermic ILP (HILP) are therapeutic options for patients with unresectable malignancies in the extremities (e.g. primarily melanoma and soft tissue tumors), they induce a high rate of tumor response; associates with high limb salvage rates and represents an effective alternative to amputation. These are challenging procedures with a high technical difficulty that require the efforts of a multidisciplinary team (surgeon, anesthesiologist, nurse, perfusionist and intensivist). Hemodynamic changes, drug leakage through collateral vessels, local and systemic toxicity, and potential complications require continuous and invasive monitoring during the procedure and rigorous post-surgical monitoring. The purpose of this review article was to update the strategies for the perioperative care of cancer patients undergoing this procedure.

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“…The diagnosis of compartmental syndrome is essentially clinical, and it requires immediate management with fasciotomy; however, postoperative follow-up can be supported by intra-compartmental pressure monitoring 40,56 . Monitoring for at least 24 h is recommended or until a consistent pressure decrease and pressure differential increase is observed 57 .…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Perioperative considerations in the oncologic patient undergoing isolated limb perfusion

Cuéllar-Guzmán¹,

Ferretiz-López²,

Cárdenas-Herrera³

2022

GAMO

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Isolated limb perfusion (ILP) and hyperthermic ILP (HILP) are therapeutic options for patients with unresectable malignancies in the extremities (e.g., primarily melanoma and soft tissue tumors), they induce a high rate of tumor response; associates with high limb salvage rates and represents an effective alternative to amputation. These are challenging procedures with a high technical difficulty that require the efforts of a multidisciplinary team (surgeon, anesthesiologist, nurse, perfusionist and intensivist). Hemodynamic changes, drug leakage through collateral vessels, local and systemic toxicity, and potential complications require continuous and invasive monitoring during the procedure and rigorous post-surgical monitoring. The purpose of this review article was to update the strategies for the perioperative care of cancer patients undergoing this procedure.

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Intracompartmental Pressure Monitoring Using a Handheld Pressure Monitoring System

Cited by 9 publications

References 8 publications

Portable Oxygen-Sensing Device for the Improved Assessment of Compartment Syndrome and other Hypoxia-Related Conditions

Portable Oxygen-Sensing Device for the Improved Assessment of Compartment Syndrome and other Hypoxia-Related Conditions

Consideraciones perioperatorias en el paciente oncológico sometido a perfusión aislada de la extremidad

Perioperative considerations in the oncologic patient undergoing isolated limb perfusion

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