Indication for surgical compament release in compament Syndrome in any compament is absolute pressure greater than?
30 mm Hg REF: With text "Setting the threshold for fasciotomy at a perfusion pressure of 30 mmHg can be considered safe, but still may lead to overeatment if used routinely" REF: Evidence-based Ohopedics - Mohit Bhandari Page 634 Different authors consider surgical intervention if: (REF: Tiwari A, Haq A I, Myint F, Hamilton G. Acute compament syndromes. Br J Surg 2002; 89: 397-412.) Absolute ICP greater than 30 mmHg Difference between diastolic pressure and ICP greater than 30 mmHg Difference between mean aerial pressure and ICP greater than 40 mmHg "Intracompamental pressure may be measured by the wick catheter in patients suspected to have compament syndrome. By such method a pressure of 30 mm Hg or more sustained for 6-8 hours or more is a likely indication for decompressive fasciotomy" REF: Skeletal injury in the child by John Anthony Ogden Page 317 Intracompamental pressure Comments <15 mm Hg Normal compament pressure of lower limbs >25 mm Hg Venous drainage from closed myofascial spaces is impaired. >30 mm Hg Complete venous collapse >60 mm Fig Neuromuscular ischemia REF: Mastery of vascular and endovascular surgery - Gerald B. Zelenock, Thomas S. Huber, Louis M. Messina Page 507
15 mm Hg
20 mm Hg
30 mm Hg
Varies from compament to compament