Near Infra-Red Spectroscopy to Reduce Prophylactic Fasciotomies for and Missed Cases of Acute Compartment Syndrome in Soldiers Injured in OEF/OIF

Abstract

The research project is a three-part project to validate the accuracy and reliability of a specific NIRS sensor (Equanox, Nonin, Inc, Plymouth, MN) in diagnosing acute compartment syndrome in injured combat soldiers. Part 1 is a series of two observational studies, the first of which was completed at Landstuhl Regional Medical Center during year 1. The second clinical study was originally planned to be conducted in theatre in Afghanistan and Iraq, but had to be transitioned to a FDA-regulated study conducted under an abbreviated IDE within the USA. This study was established in Period 3 and completed in Period 4. Part 2 of the project involves animal studies to address issues raised in clinical testing and furthering understanding of NIRS response to ACS. The first animal study was completed in Year 2 of this award, and a second study using a different ACS model was completed in the current reporting period. Part 3 of this project is the translation of the current technology into a validated, FDA approved format. Data collected in Parts 1 and 2 will be used as the basis for developing a NIRS-based diagnostic algorithm that will be validated in a subsequent clinical trial.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2013
Accession Number
ADA599896

Entities

People

  • Brett Freedman

Organizations

  • Geneva Foundation

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Algorithms
  • Blood
  • Bone Fractures
  • Cardiovascular Physiological Phenomena
  • Clinical Trials
  • Health Services
  • Infrared Spectroscopy
  • Institutional Review Board
  • Intellectual Property
  • Leg Injuries
  • Medical Personnel
  • Oxygenation
  • Spectroscopy
  • Subcutaneous Tissue
  • Surgery
  • Ultrasounds
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Medical Imaging.
  • Trauma or Military Medicine