Objective methods for achieving an early prediction of the effectiveness of regional block anesthesia using thermography and hyper-spectral imaging

John H.G.M. Klaessens; Mattijs Landman; Rowland de Roode; Herke Jan Noordmans; Rudolf M. Verdaasdonk

doi:10.1117/12.875074

16 February 2011 Objective methods for achieving an early prediction of the effectiveness of regional block anesthesia using thermography and hyper-spectral imaging

John H.G.M. Klaessens, Mattijs Landman, Rowland de Roode, Herke Jan Noordmans, Rudolf M. Verdaasdonk

Author Affiliations +

Proceedings Volume 7895, Optical Biopsy IX; 78950Q (2011) https://doi.org/10.1117/12.875074
Event: SPIE BiOS, 2011, San Francisco, California, United States

Abstract

An objective method to measure the effectiveness of regional anesthesia can reduce time and unintended pain inflicted to the patient. A prospective observational study was performed on 22 patients during a local anesthesia before undergoing hand surgery. Two non-invasive techniques thermal and oxygenation imaging were applied to observe the region affected by the peripheral block and the results were compared to the standard cold sensation test. The supraclavicular block was placed under ultrasound guidance around the brachial plexus by injecting 20 cc Ropivacaine. The sedation causes a relaxation of the muscles around the blood vessels resulting in dilatation and hence an increase of blood perfusion, skin temperature and skin oxygenation in the lower arm and hand. Temperatures were acquired with an IR thermal camera (FLIR ThermoCam SC640). The data were recorded and analyzed with the ThermaCam^TMResearcher and Matlab software. Narrow band spectral images were acquired at selected wavelengths with a CCD camera either combined with a Liquid Crystal Tunable Filter (420-730 nm) or a tunable hyper-wavelength LED light source (450-880nm). Concentration changes of oxygenated and deoxygenated hemoglobin in the dermis of the skin were calculated using the modified Lambert Beer equation. Both imaging methods showed distinct oxygenation and temperature differences at the surface of the skin of the hand with a good correlation to the anesthetized areas. A temperature response was visible within 5 minutes compared to the standard of 30 minutes. Both non-contact methods show to be more objective and can have an earlier prediction for the effectiveness of the anesthetic block.

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John H.G.M. Klaessens, Mattijs Landman, Rowland de Roode, Herke Jan Noordmans, and Rudolf M. Verdaasdonk "Objective methods for achieving an early prediction of the effectiveness of regional block anesthesia using thermography and hyper-spectral imaging", Proc. SPIE 7895, Optical Biopsy IX, 78950Q (16 February 2011); https://doi.org/10.1117/12.875074

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