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Interfascial pressure monitoring and prevention of compartment syndrome in head and neck oncology
Authors: Mejzlík Jan | Baldacchino Amanda
Year: 2009
Type of publication: článek v odborném periodiku
Name of source: Malta Medical Journal
Publisher name: University of Malta
Place: Msida
Page from-to: 57-57
Titles:
Language Name Abstract Keywords
cze Měření tkáňového tlaku a prevence compartment syndromu v onkolochirurgii hlavy a krku Autoři se zabývají vztahem mezi interfasciálním tlakem v prostorách na krku a hojením rány u nemocných léčených chirurgicky pro maligní onemocnění. Při operaci byl 30 nemocným implantován do měkkých tkání krku silikonový mikročip pro měření tlaku. Byl sledován interfasciální tlak a hojení rány. Naměřená data byla statisticky zpracována. Výsledky měření ukazují na statisticky významnou souvislost mezi velikostí nitrotkáňového tlaku a hojením rány. kompartment syndrom;ORL;onkologie
eng Interfascial pressure monitoring and prevention of compartment syndrome in head and neck oncology The work focuses on neck compartment syndrome from an anatomical, physiological, andpath physiological point of view. The authors describe changes that accompany the movement of fluids, ions, and proteins between the intravascular spaces and interstitial tissues as well as hydrostatic and oncototic pressure changes. Methods: The sample consists of a total of 30 surgically treated patients with a diagnosed tumour in the head and neck area. During surgery, a silicone microchip, the Codman Microsensor, was implanted into the soft neck tissues. The microchip recorded interstitial pressure for 48 hours. A Codman ICP (Intracranial Pressure) Microsensor basic kit and a Codman Express were used to conduct the measurements. The average pressures obtained in the tissues were 4.6-9.7mmHg, (mean 7.5 SD 6.1). Interfascial pressure measurement in the neck area after extensive neck surgery for treatment of neck tumours was proved to be possible in a human clinical experiment. compartment syndrome;head;neck

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