An experimental model of acute compartment syndrome involving the
anterolateral compartment of the hindlimb in dogs was used to compare three
methods of measurement of intracompartmental pressure: the simple-needle
technique, use of the slit catheter, and use of the side-ported needle. No
statistical difference was found between the values obtained with the slit
catheter and those obtained with the side-ported needle; the mean
difference was 1.4 millimeters of mercury throughout the range of
compartment pressures that were measured. The side-ported needle appeared
to be as accurate as the slit catheter for the measurement of compartment
pressures (p = 0.355, 1-beta = 0.9). The values obtained with use of the
simple needle were consistently higher than those obtained with the other
two methods (p < 0.001): an average of 18.3 millimeters of mercury
higher than the values measured with the slit catheter and 19.3 millimeters
of mercury higher than those measured with the side-ported needle.
Clinically, the side-ported needle or the slit catheter can be used to
obtain accurate measurements of compartment pressure. Use of the simple
18-gauge needle is not recommended for this purpose.