Use of Near-Infrared Spectroscopy to Assess the Adequacy of Resuscitation in Trauma

摘要

The long term objective is to develop and evaluate new monitoring strategies in clinically-relevant laboratory models of civilian and military trauma then translate the laboratory findings to the bedside. The short term primary objective was to assess the value of a new portable, noninvasive, continuous monitoring device (near-infrared spectroscopy, NIRS) in establishing the adequacy of resuscitation after trauma in an experimental model. That objective was achieved earlier than expected and is now being tested in patients. We are now evaluating proof of concept of other non-invasive monitoring strategies in both animals and patients. Some of these novel strategies could permit minimally-trained medics or other EMS personnel to provide care of trauma patients in the combat or civilian prehospital setting; others provide new perspectives on the diagnosis of injury severity.