Satyendra Dhar, MD @DharSaty · 2 years ago
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ACUTE COMPARTMENT SYNDROME The definitive surgical therapy for compartment syndrome is emergent fasciotomy (compartment release), with
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ACUTE COMPARTMENT SYNDROME 

The definitive surgical therapy for compartment syndrome is emergent fasciotomy (compartment release), with subsequent fracture reduction or stabilization and vascular repair, if needed. The goal of decompression is restoration of muscle perfusion within 6 hours.

The original description of the consequences of unchecked rising intracompartmental pressures is widely attributed to Richard von Volkmann. 

In acute compartment syndrome, especially with trauma, consider performing a workup for rhabdomyolysis, with measurement of the following:
* Creatine phosphokinase (CPK) 
* Renal function studies 
* Urinalysis 
* Urine myoglobin

Satyendra Dhar MD, @DharSaty

#ischemia #compartmentsyndrome #myoglobin #compartmentpressure  #deltapressure
Satyendra Dhar, MD @DharSaty · 2 years ago
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