Measurement of intracompartmental pressure: a comparison of the slit catheter, side-ported needle, and simple needle

J Bone Joint Surg Am. 1993 Feb;75(2):231-5.

Abstract

An experimental model of acute compartment syndrome involving the anterolateral compartment of the hindlimb in dogs was used to compare three methods of measurement of intracompartmental pressure: the simple-needle technique, use of the slit catheter, and use of the side-ported needle. No statistical difference was found between the values obtained with the slit catheter and those obtained with the side-ported needle; the mean difference was 1.4 millimeters of mercury throughout the range of compartment pressures that were measured. The side-ported needle appeared to be as accurate as the slit catheter for the measurement of compartment pressures (p = 0.355, 1-beta = 0.9). The values obtained with use of the simple needle were consistently higher than those obtained with the other two methods (p < 0.001): an average of 18.3 millimeters of mercury higher than the values measured with the slit catheter and 19.3 millimeters of mercury higher than those measured with the side-ported needle. Clinically, the side-ported needle or the slit catheter can be used to obtain accurate measurements of compartment pressure. Use of the simple 18-gauge needle is not recommended for this purpose.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Animals
  • Catheterization / instrumentation*
  • Compartment Syndromes / diagnosis*
  • Compartment Syndromes / physiopathology
  • Dogs
  • Equipment Design
  • Female
  • Male
  • Manometry / instrumentation*
  • Manometry / methods
  • Needles*
  • Pressure