The use of Near-Infrared Spectroscopy to assist in the diagnosis of Compartment Syndrome in paediatrics
Not Applicable
Completed
- Conditions
- compartment syndromecomplications of fracturesMusculoskeletal - Other muscular and skeletal disorders
- Registration Number
- ACTRN12611000022965
- Lead Sponsor
- The Children's Hospital at Westmead
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 29
Inclusion Criteria
Grade 3 supracondylar fracture for group 1
Clinically suspected compartment syndrome for group 2
Exclusion Criteria
volar forearm skin damage preventing probe attachment
Jaundice
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Tissue oxygenation level[From time of operative fixation until hospital discharge in group 1, measured continuously at a 2 second sampling rate, for up to 48 hours or discharge.<br><br>At time of surgical intervention for fasciotomy for group 2, as a discrete measurement taken over 2 minutes at a 2 second sampling rate.]
- Secondary Outcome Measures
Name Time Method number of group 1 patients developing compartment syndrome. Clinical assessment, described before, is used to detect the development of compartment sydnrome. If suspected, muscle compartment pressures are measured usign an invasive device(Stryker pressure monitor), and fasciotomy is performed, at which time the muscle is directly inspected for colour, swelling and response to stimulation, allowing a definitive diagnosis of compartment syndrome to be made.[Continuous clinical observation for up to 48 hours post fixation or dischaege from hospital.]