Near Infrared Spectroscopy in the Diagnosis of Chronic Exertional Compartment Syndrome

Brand, Johan G. H. van den; Verleisdonk, E. J. M. M.; Werken, Christiaan van der

doi:10.1177/0363546503261733

Cited by 81 publications

(45 citation statements)

References 12 publications

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“…For instance, it may allow clinicians to use the brain as an index organ that represents the adequacy of tissue perfusion and oxygenation of other vital organs. Also, there is increasing interest in the utilization of similar oximetry sensors to monitor adequacy of tissue perfusion when placed on non-cerebral anatomic sites in both adult and pediatric patients [98,99].…”

Section: Cerebral Oximetrymentioning

confidence: 99%

Guiding Goal-Directed Therapy

Suehiro

Joosten

Alexander

2014

Curr Anesthesiol Rep

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Several studies have demonstrated that perioperative hemodynamic optimization (or ''goal directed therapy'') using minimally invasive hemodynamic monitoring technologies has the ability to improve postoperative patients' outcome with lower complication rates, shorter hospital lengths of stay, and lower cost of surgery. This specific concept of goal-directed therapy (GDT) uses perioperative cardiac output monitoring and manipulation of physiologic parameters (dynamic parameters of fluid responsiveness) to guide intravenous fluids and inotropic therapy with the goal of ensuring adequate tissue perfusion. Recently, the evidence related to the implementation of GDT strategies has been considered strong enough to allow for the creation of national recommendations in the UK, in France, and by the European Society of Anaesthesiology. The aims of the programs are to apply best practices to high-risk surgical patients and requires the participation of all clinicians involved in patients' care. Considering the potential clinical and economic benefits of GDT protocols and the positive recommendations from influential scientific societies, more and more hospitals around the world have become interested in implementing hemodynamic optimization in their departments. This review provides the information about the evolution of hemodynamic monitoring from invasive to the more recent noninvasive devices, and how these devices can be used in the operating rooms through well-defined algorithms of GDT.

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Section: Cerebral Oximetrymentioning

confidence: 99%

Guiding Goal-Directed Therapy

Suehiro

Joosten

Alexander

2014

Curr Anesthesiol Rep

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“…The feasibility of conventional CW NIRS in monitoring the pattern of skeletal muscle chromophore changes during rest, isometric exercise and ischemia is reported by different investigators [3][4][5][6]. NIRS has contributed new knowledge related to muscle physiology at a basic science level, is widely used as a measure of performance in exercise science, [7][8][9] and also to monitor muscle hypoxia and ischemia in sports medicine [10]. The non-invasive nature of the transcutaneous NIRS interface, and the ability to monitor continuously even during physical movement and active exercise provide an important means of measuring oxygenation and hemodynamics in muscle tissue in health and disease.…”

Section: Introductionmentioning

confidence: 99%

Wireless near-infrared spectroscopy of skeletal muscle oxygenation and hemodynamics during exercise and ischemia

et al. 2009

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Abstract. The majority of in vivo applications of near-infrared spectroscopic (NIRS) monitoring use continuous wave instruments that require a fiberoptic cable connection between the subject and the instrument during monitoring. In studies of muscle physiology where subjects are exercising, and particularly in those who are engaged in sports activity, a wireless instrument with telemetric capacity provides obvious advantages. Having access to reliable telemetric NIRS technology will also increase the practicality and scope of this biomedical monitoring technique in clinical settings.We report the feasibility of using a wireless continuous wave NIRS instrument with light emitting diodes, spatially resolved configuration, and Bluetooth ® capability to study skeletal muscle oxygenation and hemodynamics during isometric contraction and ischemia induction.In ten healthy subjects comparable patterns of change in chromophore concentration (oxygenated and deoxygenated hemoglobin), total hemoglobin and muscle oxygen saturation were observed during 3 sets of isometric voluntary forearm muscle contraction at 10, 30 and 50% of maximum voluntary capacity (MVC), and a period of ischemia generated subsequently.This small series indicates that data with good intra-and inter-subject reproducibility that is free of movement artifact can be obtained with the wireless NIRS instrument described. The validity of these muscle studies demonstrate a basis for applying wireless NIRS monitoring to other biomedical applications.

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“…Commercial NIRS systems from companies such as Hutchinson Technology, Johnson & Johnson Medical and NIM have been applied to assess tissue oxygenation changes in the rat kidney during I/R injury (Vaughan et al 1995b), in the pig leg muscle during pressure increase (Arbabi et al 1999) and in the human leg muscle during exercise (Breit et al 1997, Egun et al 2002, van den Brand et al 2004, 2005, or during calf compression (Gentilello et al 2001). Most of these presented only a tissue oxygen saturation (S t O 2 ) level change in muscle, and the protocols did not exactly simulate I/R injury.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic Changes in Rat Leg Muscles During Tourniquet-Induced Ischemia-Reperfusion Injury Observed by Near Infrared Spectroscopy

Kim

Lee

Walters

et al. 2007

Chest

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In this study, we hypothesized that non-invasive continuous wave near-infrared spectroscopy (CWNIRS) can determine the severity or reversibility of muscle damage due to ischemia/reperfusion (I/R), and the results will be highly correlated with those from physical examination and histological analysis. To test this hypothesis, we performed CWNIRS measurements on two groups of male Sprague-Dawley rats (~400 g) that underwent 2 h (n = 6) or 3 h (n = 7) of pneumatic tourniquet application (TKA). Tissue oxyhemoglobin [HbO 2 ] and deoxyhemoglobin [Hb] concentration changes were monitored during the 2 h or 3 h of 250 mmHg TKA and for an additional 2 h post-TKA. Rats were euthanized 24 h post-TKA and examined for injury, edema and viability of muscles. Contralateral muscles served as controls for each animal. In both groups, [HbO 2 ] dropped immediately, then gradually decreased further after TKA and then recovered once the tourniquet was released. However, releasing after 2 h of TKA caused [HbO 2 ] to overshoot above the baseline during reperfusion while the 3 h group continued to have lower [HbO 2 ] than baseline. We found a significant correlation between the elapsed time from tourniquet release to the first recovery peak of [HbO 2 ] and the muscle weight ratio between tourniquet and contralateral limb muscles (R = 0.86). Hemodynamic patterns from non-invasive CWNIRS demonstrated significant differences between 2 h and 3 h I/R. The results demonstrate that CWNIRS may be useful as a non-invasive prognostic tool for conditions involving vascular compromise such as extremity compartment syndrome.

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Near Infrared Spectroscopy in the Diagnosis of Chronic Exertional Compartment Syndrome

Abstract: StO(2) can distinguish healthy from diseased legs. This study provides evidence supporting NIRS as a noninvasive, painless alternative to ICP in the diagnosis of CECS.

Cited by 81 publications

References 12 publications

Guiding Goal-Directed Therapy

Guiding Goal-Directed Therapy

Wireless near-infrared spectroscopy of skeletal muscle oxygenation and hemodynamics during exercise and ischemia

Hemodynamic Changes in Rat Leg Muscles During Tourniquet-Induced Ischemia-Reperfusion Injury Observed by Near Infrared Spectroscopy

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