Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome

Giovanni Giannotti, Stephen M. Cohn, Margaret Brown, J. Esteban Varela, Mark G. McKenney, Jill A. Wiseberg

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

Objective: To determine the utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome (cs). Methods: Nine patients with CS confirmed by physical examination and elevated compartment pressures (64 ± 17 mm Hg) were evaluated before and after fasciotomy. Control readings were also performed on 33 surgical patients who had no evidence of CS. The deltoid muscle was used as a reference value. Results: The deltoid muscle oxygen saturation (StO2) readings revealed a mean = 84 ± 17% prefasciotomy and mean = 83 ± 12% postfasciotomy in the CS group. The control group had a mean StO2 of 83 ± 11%. In the CS group, the leg compartment with the highest pressure had a StO2 mean = 56 ± 27% before fasciotomy. This value was statistically significantly lower (p < 0.05) than either the postfasciotomy mean StO2 in that compartment (82 ± 16%) or the values found in matched control patients with no evidence of CS (87 ± 7%). Conclusion: Near-infrared spectroscopy-derived StO2 values in the lower extremities of trauma patients with CS were diminished relative to the control patients and usually normalized after fasciotomy. Near-infrared spectroscopy evaluation may offer a rapid, noninvasive method of assessing extremities at risk for CS.

Original languageEnglish (US)
Pages (from-to)396-401
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume48
Issue number3
StatePublished - Mar 2000
Externally publishedYes

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Compartment Syndromes
Near-Infrared Spectroscopy
Lower Extremity
Deltoid Muscle
Reading
Pressure
Physical Examination
Leg
Reference Values
Extremities
Oxygen
Control Groups
Wounds and Injuries
Fasciotomy

Keywords

  • Compartment syndrome
  • Near-infrared spectroscopy

ASJC Scopus subject areas

  • Surgery

Cite this

Giannotti, G., Cohn, S. M., Brown, M., Varela, J. E., McKenney, M. G., & Wiseberg, J. A. (2000). Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome. Journal of Trauma - Injury, Infection and Critical Care, 48(3), 396-401.

Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome. / Giannotti, Giovanni; Cohn, Stephen M.; Brown, Margaret; Varela, J. Esteban; McKenney, Mark G.; Wiseberg, Jill A.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 48, No. 3, 03.2000, p. 396-401.

Research output: Contribution to journalArticle

Giannotti, G, Cohn, SM, Brown, M, Varela, JE, McKenney, MG & Wiseberg, JA 2000, 'Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome', Journal of Trauma - Injury, Infection and Critical Care, vol. 48, no. 3, pp. 396-401.
Giannotti, Giovanni ; Cohn, Stephen M. ; Brown, Margaret ; Varela, J. Esteban ; McKenney, Mark G. ; Wiseberg, Jill A. / Utility of near-infrared spectroscopy in the diagnosis of lower extremity compartment syndrome. In: Journal of Trauma - Injury, Infection and Critical Care. 2000 ; Vol. 48, No. 3. pp. 396-401.
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