Measurement of intracompartmental pressure with use of a new electronic transducer-tipped catheter system. 1999

C Willy, and H Gerngross, and J Sterk
Department of Surgery, Military Hospital Ulm, Germany. christian.willy@extern.uni-ulm.de

Laboratory and clinical tests were carried out to determine the clinical usefulness, validity, and safety of a new self-calibrating, battery-powered monitoring system for the measurement of intramuscular pressure with use of an electronic transducer-tipped catheter. The eight probes accurately recorded applied pressures ranging from zero to 160 millimeters of mercury (zero to 21.33 kilopascals). The system registered little temperature-induced drift (maximum, 1.25 millimeters of mercury [0.17 kilopascal]) between dry room temperature and 40 degrees Celsius. There were also minimum variations (range, -0.14 to 0.81 millimeter of mercury [0.02 to 0.11 kilopascal]) in the pressures recorded during a twenty-four-hour period. The resting pressure in the tibialis anterior muscle of twenty volunteers who had normal limbs was a mean (and standard deviation) of 13.1+/-8.3 millimeters of mercury (1.75+/-1.11 kilopascals). There was a good correlation between externally applied pressures (zero, twenty, forty, sixty, eighty, and 100 millimeters of mercury [zero, 2.67, 5.33, 8.00, 10.66, and 13.33 kilopascals] applied with use of antishock trousers) and the pressures measured in the tibialis anterior muscle of four volunteers (r = 0.997 to 0.999). The injection of sterile saline solution into the tibialis anterior muscle of a volunteer and the use of high-frequency recording during muscular activity showed a high degree of responsiveness and sensitivity to changes in intramuscular pressure. We also prospectively evaluated the clinical usefulness of the system and found it to be easy to assemble, calibrate, and use. Thus, this reusable, electronic transducer-tipped catheter system, which is based on a noninfusion technique, is simple, minimally traumatic, and highly precise. It is free of hydrostatic pressure artifacts and provides dynamic responses to changes in intramuscular pressure.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008297 Male Males
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D004581 Electronics The study, control, and application of the conduction of ELECTRICITY through gases or vacuum, or through semiconducting or conducting materials. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Electronic
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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