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Escharotomies and Fasciotomies

Operative Session.
Presented by: Amer Abdel Fattah pgy3.
Moderated by Dr. Marzouq Amarin.
Compartment Syndrome.
• What is a compartment?
• Normal tissue pressure is 0-8 mmHg.
• Pain develops as pressure reaches 20-30mmHg.
• Capillary blood flow is compromised as pressure reaches 25-30 mmHg.
Causes of Acute Compartment
Syndrome.
Diagnosis of ACS.
Measurement of Compartment Pressure.
Compartments
and their
contents.
Fasciotomy.
Escharotomy.
Lines of
Escharotomies.
Escharotomy of the torso.
Escharotomy of arm and forearm.
Escharotomy of lower limb.
Thank you.
Reffrences.
• Lower Extremity Fasciotomies Elizabeth R. Benjamin and James Bardes, Atlas of Surgical Techniques in Trauma, 2019.
• Escharotomy in Burns Justin Gillenwater and Warren Garner, Atlas of Surgical Techniques in Trauma, 2019.
• Acute compartment syndrome of the extremities, Maria E Moreira, Richard G Bachur, 2019.
• Pathophysiology, classification, and causes of acute extremity compartment syndrome, Kevin C Chung, Hidemasa
Yoneda, J Gregory Modrall.
• Fasciotomy, Jennifer Wood, 2017.
• https://www.youtube.com/watch?v=auZONn4W9uk&t=590s.
• https://www.youtube.com/watch?v=DtBFLQ8kHGQ.
• https://www.youtube.com/watch?v=yhIEXC3JrYs&t=33s.
• https://www.youtube.com/watch?v=8JjhYbx-NBc.
• https://www.youtube.com/watch?v=GYpjFfTQjLc&t=3s.

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