A Human Cadaver Fascial Compartment Pressure Measurement Model

Abstract Background Fresh human cadavers provide an effective model for procedural training. Currently, there are no realistic models to teach fascial compartment pressure measurement. Objectives We created a human cadaver fascial compartment pressure measurement model and studied its feasibility wi...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of emergency medicine 2013-10, Vol.45 (4), p.e127-e131
Main Authors: Messina, Frank C., MD, Cooper, Dylan, MD, Huffman, Gretchen, RN, Bartkus, Edward, MD, Wilbur, Lee, MD
Format: Article
Language:English
Subjects:
Anterior Compartment Syndrome - diagnosis
Cadaver
compartment syndrome
education
Education, Medical - methods
Embalming
Emergency
Fascia
fascial compartment pressure measurement
human cadaver
Humans
Manometry
Pressure
procedural training
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background Fresh human cadavers provide an effective model for procedural training. Currently, there are no realistic models to teach fascial compartment pressure measurement. Objectives We created a human cadaver fascial compartment pressure measurement model and studied its feasibility with a pre-post design. Methods Three faculty members, following instructions from a common procedure textbook, used a standard handheld intra-compartment pressure monitor (Stryker® , Kalamazoo, MI) to measure baseline pressures (“unembalmed”) in the anterior, lateral, deep posterior, and superficial posterior compartments of the lower legs of a fresh human cadaver. The right femoral artery was then identified by superficial dissection, cannulated distally towards the lower leg, and connected to a standard embalming machine. After a 5-min infusion, the same three faculty members re-measured pressures (“embalmed”) of the same compartments on the cannulated right leg. Unembalmed and embalmed readings for each compartment, and baseline readings for each leg, were compared using a two-sided paired t -test. Results The mean baseline compartment pressures did not differ between the right and left legs. Using the embalming machine, compartment pressure readings increased significantly over baseline for three of four fascial compartments; all in mm Hg (±SD): anterior from 40 (±9) to 143 (±44) ( p  = 0.08); lateral from 22 (±2.5) to 160 (±4.3) ( p  
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2013.05.008