Near-infrared spectroscopy monitoring for compartment syndrome

Ashley L. Cole, Emily K. Smith, Ashley V. Austin, Brett Freedman, Michael S. Shuler

Research output: Contribution to journalReview article

Abstract

The basis of near-infrared spectroscopy (NIRS) is founded on light reflection and absorption through tissue and specific molecular chromophores. By using multiple wavelengths of light, chosen to leverage the specific light absorption properties of oxyhemoglobin and deoxyhemoglobin, it is possible to estimate relative concentrations of these 2 molecules in tissue. Compartment syndrome occurs when the pressure within a closed fascial space precludes delivery of oxygen to the affected extremity. Thus, NIRS presents a unique opportunity for noninvasive monitoring of muscle oxygenation saturation. This article presents an overview of NIRS technology and its evolution over the past 2 decades, a review of the current literature investigating the use of NIRS in both acute and chronic exertional compartment syndrome, and guidance for anatomic sensor placement.

Original languageEnglish (US)
Pages (from-to)15-21
Number of pages7
JournalTechniques in Orthopaedics
Volume27
Issue number1
DOIs
StatePublished - Mar 1 2012
Externally publishedYes

Fingerprint

Compartment Syndromes
Near-Infrared Spectroscopy
Light
Oxyhemoglobins
Extremities
Oxygen
Technology
Pressure
Muscles

Keywords

  • compartment syndrome
  • near-infrared spectroscopy
  • noninvasive
  • trauma care

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Near-infrared spectroscopy monitoring for compartment syndrome. / Cole, Ashley L.; Smith, Emily K.; Austin, Ashley V.; Freedman, Brett; Shuler, Michael S.

In: Techniques in Orthopaedics, Vol. 27, No. 1, 01.03.2012, p. 15-21.

Research output: Contribution to journalReview article

Cole, Ashley L. ; Smith, Emily K. ; Austin, Ashley V. ; Freedman, Brett ; Shuler, Michael S. / Near-infrared spectroscopy monitoring for compartment syndrome. In: Techniques in Orthopaedics. 2012 ; Vol. 27, No. 1. pp. 15-21.
@article{cda0a27d9b324d739bd84e5c252d5417,
title = "Near-infrared spectroscopy monitoring for compartment syndrome",
abstract = "The basis of near-infrared spectroscopy (NIRS) is founded on light reflection and absorption through tissue and specific molecular chromophores. By using multiple wavelengths of light, chosen to leverage the specific light absorption properties of oxyhemoglobin and deoxyhemoglobin, it is possible to estimate relative concentrations of these 2 molecules in tissue. Compartment syndrome occurs when the pressure within a closed fascial space precludes delivery of oxygen to the affected extremity. Thus, NIRS presents a unique opportunity for noninvasive monitoring of muscle oxygenation saturation. This article presents an overview of NIRS technology and its evolution over the past 2 decades, a review of the current literature investigating the use of NIRS in both acute and chronic exertional compartment syndrome, and guidance for anatomic sensor placement.",
keywords = "compartment syndrome, near-infrared spectroscopy, noninvasive, trauma care",
author = "Cole, {Ashley L.} and Smith, {Emily K.} and Austin, {Ashley V.} and Brett Freedman and Shuler, {Michael S.}",
year = "2012",
month = "3",
day = "1",
doi = "10.1097/BTO.0b013e31824881f6",
language = "English (US)",
volume = "27",
pages = "15--21",
journal = "Techniques in Orthopaedics",
issn = "0885-9698",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Near-infrared spectroscopy monitoring for compartment syndrome

AU - Cole, Ashley L.

AU - Smith, Emily K.

AU - Austin, Ashley V.

AU - Freedman, Brett

AU - Shuler, Michael S.

PY - 2012/3/1

Y1 - 2012/3/1

N2 - The basis of near-infrared spectroscopy (NIRS) is founded on light reflection and absorption through tissue and specific molecular chromophores. By using multiple wavelengths of light, chosen to leverage the specific light absorption properties of oxyhemoglobin and deoxyhemoglobin, it is possible to estimate relative concentrations of these 2 molecules in tissue. Compartment syndrome occurs when the pressure within a closed fascial space precludes delivery of oxygen to the affected extremity. Thus, NIRS presents a unique opportunity for noninvasive monitoring of muscle oxygenation saturation. This article presents an overview of NIRS technology and its evolution over the past 2 decades, a review of the current literature investigating the use of NIRS in both acute and chronic exertional compartment syndrome, and guidance for anatomic sensor placement.

AB - The basis of near-infrared spectroscopy (NIRS) is founded on light reflection and absorption through tissue and specific molecular chromophores. By using multiple wavelengths of light, chosen to leverage the specific light absorption properties of oxyhemoglobin and deoxyhemoglobin, it is possible to estimate relative concentrations of these 2 molecules in tissue. Compartment syndrome occurs when the pressure within a closed fascial space precludes delivery of oxygen to the affected extremity. Thus, NIRS presents a unique opportunity for noninvasive monitoring of muscle oxygenation saturation. This article presents an overview of NIRS technology and its evolution over the past 2 decades, a review of the current literature investigating the use of NIRS in both acute and chronic exertional compartment syndrome, and guidance for anatomic sensor placement.

KW - compartment syndrome

KW - near-infrared spectroscopy

KW - noninvasive

KW - trauma care

UR - http://www.scopus.com/inward/record.url?scp=84858127837&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84858127837&partnerID=8YFLogxK

U2 - 10.1097/BTO.0b013e31824881f6

DO - 10.1097/BTO.0b013e31824881f6

M3 - Review article

AN - SCOPUS:84858127837

VL - 27

SP - 15

EP - 21

JO - Techniques in Orthopaedics

JF - Techniques in Orthopaedics

SN - 0885-9698

IS - 1

ER -