Recomendaciones actuales para el diagnóstico del síndrome compartimental agudo (sca)

Abstract

Introduction: Compartment syndrome is a serious condition that requires careful evaluation and multiple diagnostic tools to ensure timely and effective treatment, highlighting the importance of constant monitoring and follow-up of the patient's evolution. Objective: To explore the methods currently used to diagnose acute compartment syndrome. Method: A search and selection of scientific articles of recent relevance in the last 5 years was carried out, using search engines such as Pubmed, UptoDate and Google Scholar. Development: Compartment syndrome is a medical condition characterized by compression of nerves, blood vessels and muscles within a closed space of the body, which can cause irreversible tissue damage. This pathology can occur in any muscle group but is most common in the muscles of the extremities, especially the legs. For the diagnosis of ACS are the characteristic symptoms (such as disproportionate pain, pallor, weakness, paresthesia, lack of pulse), and the measurement of intracompartmental pressure which can be by various methods. Conclusion: This review mentions that the diagnosis of ACS depends on a comprehensive clinical evaluation and the measurement of intracompartmental pressure, together with the use of biomarkers and imaging techniques to confirm the diagnosis and rule out other pathologies. Noninvasive techniques, such as near-infrared spectroscopy, show promise but require further investigation.