Near-Infrared Spectroscopy: A Promising Prehospital Tool for Management of Traumatic Brain Injury

Peters, Joost; Wageningen, Bas van; Hoogerwerf, Nico; Tan, Edward

doi:10.1017/s1049023x17006367

Cited by 37 publications

(29 citation statements)

References 17 publications

(28 reference statements)

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“…A study in a physician-staffed Helicopter Emergency Medical Service in Nijmegen, Netherlands, evaluated a total of 25 TBI patients. 13 There were 15 intracranial hematomas confirmed by a CT scan completed on all subjects upon arrival to a trauma center. The sensitivity in this population was 93.3%, and specificity was 78.6%.…”

Section: Resultsmentioning

confidence: 99%

“…The studies were performed with diverse age populations and locations: USA, Canada, Spain, Italy, the Netherlands, Germany, Afghanistan, Russia, Poland, India, China, and Turkey. [11][12][13][14][15][16][17][18][19][20][21][22][23] This paper outlines the development of the Infrascanner system, the first handheld device to aid in the detection of bleeding in the skull and reviews results of the clinical studies.…”

Section: Introductionmentioning

confidence: 99%

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Early diagnosis of traumatic intracranial hematomas

et al. 2019

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Timing of the intervention for intracranial hematomas is critical for its success, specifically since expansion of the hemorrhage can result in debilitating and sometimes fatal outcomes. Led by Britton Chance, we and an extended team from University of Pennsylvania, Baylor and Drexel universities developed a handheld brain hematoma detector for early triage and diagnosis of head trauma victims. After obtaining de novo Food and Drug Administration clearance, over 200 systems are deployed in all Marine battalion aid stations around the world. Infrascanner, a handheld brain hematoma detection system, is based on the differential nearinfrared light absorption of the injured versus the noninjured part of brain. About 12 independent studies have been conducted in the USA,

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Early diagnosis of traumatic intracranial hematomas

et al. 2019

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“…This 2-3 min test is specifically designed for hematoma detection in traumatic brain injury (TBI) with no data yet available for ischemic stroke. 31…”

Section: Infrared Detectionmentioning

confidence: 99%

Technological innovation for prehospital stroke triage: ripe for disruption

Martínez-Gutiérrez

Chandra

Hirsch

et al. 2019

J NeuroIntervent Surg

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BackgroundWith the benefit of mechanical thrombectomy firmly established, the focus has shifted to improved delivery of care. Reducing time from symptom onset to reperfusion is a primary goal. Technology promises tremendous opportunities in the prehospital space to achieve this goal.MethodsThis review explores existing, fledgling, and potential future technologies for application in the prehospital space.ResultsThe opportunity for technology to improve stroke care resides in the detection, evaluation, triage, and transport of patients to an appropriate healthcare facility. Most prehospital technology remains in the early stages of design and implementation.ConclusionThe major challenges to tackle for future improvement in prehospital stroke care are that of public awareness, emergency medical service detection, and triage, and improved systems of stroke care. Thoughtfully applied technology will transform all these areas.

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“…More recent studies are focused upon evaluating prehospital coma gravity. For example, Peters et al [75] observed in a study including 25 patients that NIRS has a sensitivity of 93.3% and a specificity of 78.6% over CT scans in detecting intracranial hematoma.…”

Section: Near-infrared Spectroscopy (Nirs)mentioning

confidence: 99%

Important Issues in Coma and Neuromonitoring

Pavel¹

2018

Current Topics in Intensive Care Medicine

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Coma is defined as a state of unconsciousness and lack of response to noxious stimuli. The physiopathology of consciousness and coma is not entirely understood. On the other hand, clinical examination does not give us enough information in all types of coma states. In this chapter, some types of coma and their definition, the necessity of coma monitoring and what we can use for coma monitoring in ICU, algorithms for EEG monitoring, BIS, AppEntropy, permutation entropy and auditory evoked potentials are described. Burst suppression state new theories and cortical connectivity and reactivity during coma as a tool for coma prognosis will be on focus.

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Near-Infrared Spectroscopy: A Promising Prehospital Tool for Management of Traumatic Brain Injury

Cited by 37 publications

References 17 publications

Early diagnosis of traumatic intracranial hematomas

Early diagnosis of traumatic intracranial hematomas

Technological innovation for prehospital stroke triage: ripe for disruption

Important Issues in Coma and Neuromonitoring

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