Direct Measurement of Compartment Pressure Using a Stryker Device
Measurement of Compartment Pressures
- Compartment pressures are not required to make the diagnosis of compartment syndrome however emergency physicians, surgeons will almost always get them to avoid uncessary fasciotomies.
- Measure compartment pressures whenever you suspect acute compartment syndrome based on risk factors and clinical exam findings.
- There are no major complications of measuring compartments and choosing not to obtain measurements can lead to missed diagnoses and permanent disability/dysfunction.
- Zero measurements are needed if the diagnosis of acute compartment syndrome is clinically obvious. Alternatively, serial measurements may be necessary if clinical findings change.
- Situations where clinical exam is limited:
- Young children
- Obtunded patients
- Critically ill patients
- Patients emergence from anesthesia
- The Stryker Device is a type of hand-held manometer which performs direct measurements of compartment pressures.
- While there are other methods for direct measurement of compartment pressure, the hand-held manometer method is most commonly used due to portability, simplicity, and accuracy.
Below is a demonstration by Dr. Stephanie Wilsey and Dr. Richard Byrne of the Department of Emergency Medicine at Cooper University Hospital demonstrating how to use a Stryker Device:
ALTERNATIVE TO STRYKER DEVICE: If you don't have a Stryker Device available, insert an 18 gauge needle into the compartment and attach an arterial line pressure monitor to measure compartment pressures. This can prevent delays in diagnosis.
Dr. Wilsey was great in that video. Lose the other guy.