Letters

Avoiding the consequences of deep vein thrombosis

BMJ 1999; 318 doi: https://doi.org/10.1136/bmj.318.7183.601a (Published 27 February 1999) Cite this as: BMJ 1999;318:601

Compartment pressures should be measured

  1. D Gidden, Specialist registrar in orthopaedics,
  2. S Kershaw, Senior house officer in orthopaedics
  1. Royal Bolton Hospital, Bolton BL4 0JR
  2. Sydenham Green Health Centre, London SE26 4TH

    EDITOR—In his editorial on avoiding the consequences of deep vein thrombosis1 McCollum suggests that ischaemia in the legs as a result of elevated calf compartment pressure secondary to deep vein thrombosis should be treated by high elevation and thrombolysis. High elevation is likely to induce reflex vasospasm and reduce perfusion further. It has been shown in tibial fracture that a perfusion pressure (compartment pressure minus diastolic blood pressure) of 30mmHg is safe to observe without the risk of acute compartment syndrome …

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