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1. (WO2015171619) SURVEILLANCE DES POTENTIELS ÉVOQUÉS SOMATOSENSORIELS (PESS) POUR LE SYNDROME DES LOGES
Note: Texte fondé sur des processus automatiques de reconnaissance optique de caractères. Seule la version PDF a une valeur juridique

Claims

1. A method for monitoring a subject for compartment syndrome comprising the steps of:

applying an electrical stimulus to a nerve in a compartment at risk of compartment syndrome; and

detecting a measurable waveform resulting from the electrical stimulus, wherein the measurable waveform represents a somatosensory evoked potential.

2. The method of claim 1, further comprising determining if there is a difference in the somatosensory evoked potential for the compartment at risk as compared to a

somatosensory evoked potential in a similarly situated compartment that does not have compartment syndrome.

3. The method of claim 2, wherein an alteration in somatosensory evoked potentials in the compartment at risk indicates an increase compartment pressure and/or a decrease in nerve function.

4. The method of claim 2 wherein the simlarly situated compartment is in the opposite limb of the subject.

5. The method of claim 1 wherein a stimulating electrode is used for applying the electrical stimulus.

6. The method of claim 5 wherein the stimulating electrode is a skin electrode positioned distal to the examined compartment.

7. The method of claim 5 wherein the stimulating electrode is a needle electrode positioned distal to the examined compartment.

8. The method of claim 1 wherein a detecting electrode is used to detect

somatosensory evoked potentials.

9. The method of claim 8, wherein the detecting electrode is positioned proximal to the compartment at risk.

10. The method of claim 9, wherein the detecting electrode is positioned on the scalp.

11. The method of claim 1 , further comprising the step of notifying a healthcare professional if the somatosensory evoked potentials are outside of an individualized threshold range or are changing faster than a pre-determined threshold rate of change.

12. The method of claim 1, wherein the monitoring is performed in a non- surgical setting.

13. The method of claim 1, wherein the subject is unconscious or obtunded during at least a portion of the monitoring.

14. A device for monitoring a patient for compartment syndrome comprising a component for applying an electric stimulus to a nerve in a compartment at risk for developing compartment syndrome; and a component for detecting a measurable waveform resulting from the electrical stimulus, wherein the measurable waveform represents a somatosensory evoked potential.

15. A system for monitoring a patient for compartment syndrome comprising:

a component for applying an electric stimulus to a nerve in a compartment at risk for developing compartment syndrome;

a component for detecting a measurable waveform resulting from the electrical stimulus, wherein the measurable waveform represents a somatosensory evoked potential; and

a component for quantifying or analyzing the somatosensory evoked potential.

16. The system of claim 15, further comprising a component for transmitting the measured somatosensory evoked potentials, or results from analysis of the measured somatosensory evoked potentials, to a remote user.

17. The system of claim 15, further comprising a component for comparing the measured somatosensory evoked potentials to somatosensory evoked potentials in a similarly situated compartment that does not have compartment syndrome.

18. The system of claim 17, further comprising a component for transmitting the comparison of the measured somatosensory evoked potentials and the somatosensory evoked potentials from the similarly situated compartment that does not have compartment syndrome to a remote user.

19. The system of claim 17 or 18, wherein the similarly situated compartment is in the opposite limb of the subject.

20. Nontransitory computer readable media comprising computer code for applying an electrical stimulus to a nerve in a compartment at risk of compartment syndrome; and detecting a measurable waveform resulting from the electrical stimulus, wherein the measurable waveform represents somatosensory evoked potentials.

21. The computer readable media of claim 20, further comprising code for transmitting the measured somatosensory evoked potentials, or results from analysis of the measured somatosensory evoked potentials, to a remote user.

22. The computer readable media of claim 20, further comprising code for comparing the measured somatosensory evoked potentials to somatosensory evoked potentials in a similarly situated compartment that does not have compartment syndrome.

23. The computer readable media of claim 20, further comprising code for determining the rate of change in detected somatosensory evoked potentials.

24. The method of claim 1, wherein a healthcare professional monitors the subject remotely.

25. The method of claim 1, wherein the monitoring comprises providing a diagnosis of compartment syndrome.