The effect of post-operative bleeding on compartment pressure.
The effect of post-operative haemorrhage on intra-compartmental pressure has been studied in a primate model. The common practice of closing a wound and applying a compression bandage before deflating the tourniquet is shown to raise intra-compartmental pressure. Subsequent tourniquet release causes a further rise in pressure. Post-operative intra-compartmental pressure remains significantly higher during the first 3 hours of reperfusion in limbs bandaged prior to tourniquet release than in limbs in which the tourniquet is released and haemostasis gained before compression bandaging is applied.
Mars
M
M
University of Natal Medical School, Congella, South Africa.
D000818:Animals; D001458:Bandages; D016063:Blood Loss, Surgical / Q000503:physiopathology* / Q000517:prevention & control; D003161:Compartment Syndromes / Q000503:physiopathology*; D004195:Disease Models, Animal; D006488:Hemostasis, Surgical; D010215:Papio; D011312:Pressure; D014111:Tourniquets