The Use of Near Infrared Spectroscopy in the Diagnosis of Acute Compartment Syndrome in Injured Soldiers

J&M Shuler300 enrolled

Overview

The purpose of this study is to define the reliability and accuracy of Near Infrared Spectroscopy (NIRS) in the detection of intra-compartmental tissue perfusion in injured and noninjured extremities over time. The investigators hypothesize that this technology, combined with vital signs, intracompartmental pressures and clinical examinations, will be useful in diagnosing acute compartment syndrome (ACS), monitoring patients at risk for ACS, and evaluating the adequacy of fasciotomy in patients treated for ACS.

Study Type

OBSERVATIONAL

Enrollment

300

Conditions

Acute Compartment Syndrome

Interventions

near-infrared spectroscopyDEVICE

Non-invasive monitoring device applied on the surface of the skin that emits harmless red light to measure tissue perfusion.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 18-65 years old * male or female * active duty servicemen who have been evacuated from OIF or OEF through LRMC Exclusion Criteria: * patients not willing to provide consent * patients in whom application of NIRS monitoring is viewed as an impediment to casualty care

Locations (1)

Landstuhl Regional Medical Center

Landstuhl, Germany

Outcomes

Primary Outcomes

NIRS values in various physiologic states (stable control, critically injured control, lower extremity injury)

Time frame: 24-48 hours from hospital admission

Data from ClinicalTrials.gov

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