BACKGROUND: We evaluated the safety range of near-infrared spectroscopy (NIRS) in the management of trauma patients who had subdural or epidural hematomas in the emergency room and intensive care unit. METHODS: Thirty cases with the radiologic diagnosis of subdural and epidural hematomas were evaluated pre- and postoperatively by NIRS. The findings were analyzed by comparing the data of 30 minor head trauma patients without hematoma, which was proven by computed tomography imaging using Mann-Whitney U and McNemar tests. RESULTS: The preoperative accuracy of NIRS in detecting the hematoma existence was same as the accuracy of the radiologic imaging but the postoperative findings were not reliable. The sensitivity of the device in detecting abnormality was found to be 0.87. CONCLUSION: NIRS is a good device to predict intracranial subdural and epidural hematomas in the field and emergency units. However, it is not superior to computed tomography or magnetic resonance imaging. It is useful in emergency situations to diagnose an intracranial bleeding but NIRS is not reliable to detect either postoperative hematomas or intracranial status in patients with craniotomy.
BACKGROUND: We evaluated the safety range of near-infrared spectroscopy (NIRS) in the management of traumapatients who had subdural or epidural hematomas in the emergency room and intensive care unit. METHODS: Thirty cases with the radiologic diagnosis of subdural and epidural hematomas were evaluated pre- and postoperatively by NIRS. The findings were analyzed by comparing the data of 30 minor head traumapatients without hematoma, which was proven by computed tomography imaging using Mann-Whitney U and McNemar tests. RESULTS: The preoperative accuracy of NIRS in detecting the hematoma existence was same as the accuracy of the radiologic imaging but the postoperative findings were not reliable. The sensitivity of the device in detecting abnormality was found to be 0.87. CONCLUSION: NIRS is a good device to predict intracranial subdural and epidural hematomas in the field and emergency units. However, it is not superior to computed tomography or magnetic resonance imaging. It is useful in emergency situations to diagnose an intracranial bleeding but NIRS is not reliable to detect either postoperative hematomas or intracranial status in patients with craniotomy.
Authors: Santiago R Leal-Noval; Aurelio Cayuela; Victoria Arellano-Orden; Antonio Marín-Caballos; Vicente Padilla; Carmen Ferrándiz-Millón; Yael Corcia; Claudio García-Alfaro; Rosario Amaya-Villar; Francisco Murillo-Cabezas Journal: Intensive Care Med Date: 2010-05-26 Impact factor: 17.440
Authors: Silvia Bressan; Marco Daverio; Francesco Martinolli; Daniele Dona'; Federica Mario; Ivan P Steiner; Liviana Da Dalt Journal: Childs Nerv Syst Date: 2014-03 Impact factor: 1.475
Authors: Seyed Reza Atefi; Fernando Seoane; Shervin Kamalian; Eric S Rosenthal; Michael H Lev; Giorgio Bonmassar Journal: Med Phys Date: 2016-02 Impact factor: 4.071