Performance of Near-Infrared Spectroscopy in Detecting Acute Tourniquet-Induced Upper-Extremity Ischemia Across Different Skin Phenotypes. (Record no. 13294)

MARC details
000 -LEADER
fixed length control field 04099nam a22005177a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 231004s20232023 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0363-5023
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jhsa.2023.06.012 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0363-5023(23)00326-X [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 37498271
245 ## - TITLE STATEMENT
Title Performance of Near-Infrared Spectroscopy in Detecting Acute Tourniquet-Induced Upper-Extremity Ischemia Across Different Skin Phenotypes.
251 ## - Source
Source Journal of Hand Surgery - American Volume. 2023 Jul 26
252 ## - Abbreviated Source
Abbreviated source J Hand Surg [Am]. 2023 Jul 26
253 ## - Journal Name
Journal name The Journal of hand surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 Jul 26
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
266 ## - Date added to catalog
Date added to catalog 2023-10-04
501 ## - WITH NOTE
Local holdings Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract CLINICAL RELEVANCE: Although NIRS has utility in tracking tissue oxygenation, variable performance with different skin melanin content raises concerns as to whether different cutoff/threshold levels are needed for different groups, and whether NIRS is reliable for spot checks in acute events. Copyright © 2023 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: NIRS can rapidly detect acute onset tissue ischemia in the upper extremity. However, given the lower starting StO2 and smaller total StO2 decrease after tourniquet-induced ischemia for patients with higher skin melanin, using NIRS for clinical detection of acute ischemia may be more challenging in these patients. These inconsistencies may limit use of NIRS clinically for spot identification of ischemia.
520 ## - SUMMARY, ETC.
Abstract METHODS: Volunteers underwent tourniquet-induced upper extremity ischemia. Skin color was evaluated by the Fitzpatrick scale (FP, range: I-VI) and the Von Luschan scale (vL, range: 1-36). A NIRS probe was placed on one finger. The tourniquet was inflated to 250 mmHg and perfusion was restricted for 7 minutes, followed by a 10-minute monitored reperfusion period. The percent tissue oxygenation (StO2) was recorded.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: Diagnosing acute tissue ischemia is challenging, particularly in patients with higher skin melanin content. We investigated whether near-infrared spectroscopy (NIRS) is effective and consistent in detecting upper extremity ischemia across various skin phenotypes.
520 ## - SUMMARY, ETC.
Abstract RESULTS: A total of 55 volunteers were enrolled (22 self-identified as Caucasian, 21 African American, 7 Asian, 2 Latinx, and 2 Biracial). Average starting and ending StO2 for the cohort was 72.2% and 45.9%, respectively. However, there was variability based on skin melanin content. Increasing vL correlated with lower starting StO2, smaller StO2 decrease, and shorter time to reach ischemic steady state. High skin melanin (FP scale IV-VI) was associated with significantly lower starting StO2 (-7.1%) and shorter time to reach ischemic steady state (-0.3 mins). African Americans had lower starting StO2 (-8.6%) and 7.8% lesser total StO2 decrease than other groups.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Plastic Surgery Residency
656 ## - INDEX TERM--OCCUPATION
Department Plastic Surgery Residency
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Abadeer, Andrew
Institution Code MGUH
Program Plastic Surgery Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Gary, Cyril
Institution Code MGUH
Program Plastic Surgery Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Giladi, Aviram M
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Iskandarova, Aygul
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Yohe, Gabriel J
Institution Code CURT
790 ## - Authors
All authors Abadeer AI, Gary CS, Giladi AM, Iskandarova A, Yohe GJ
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jhsa.2023.06.012">https://dx.doi.org/10.1016/j.jhsa.2023.06.012</a>
Public note https://dx.doi.org/10.1016/j.jhsa.2023.06.012
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
              10/04/2023   37498271 37498271 10/04/2023 10/04/2023 Journal Article

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