WoundReference improves clinical decisions
 Choose the role that best describes you
Not sure if anyone has used an infrared camera to detect possible pressure injury that cannot be seen yet. Any success with preventing hospital aquired pressure injuries? Thanks
Sep 17, 2019 by Melissa Khoo,
3 replies
Cathy Milne
APRN, MSN, CWOCN-AP
Yes Melissa, I have experience with IR cameras. I use them more for determining between infection and inflammation but have spotted DTIs (cold spots) not visibly seen as DTIs. Clearly do-able in any setting but facility/organization will need policies, staff needs training, and camera needs to "not walk" and process must be HIPPA secure...I think the literature would confirm using this, but the logistics are a bit of a nightmare!Here is some supporting literature on this:REFERENCES

Armstrong D, Lavery A. 1997. Monitoring healing of Charcot’s arthropathy. Journal Of Rehabilitation Research And Development. [online]. Vol. 34, Issue 3. Available from: http://web.a.ebscohost.com.proxy18.noblenet.org/ehost/detail/detail?vid=5&sid=02476242-1bc8-425c-a369-ee36c0ac2690%40sessionmgr4006&bdata=JkF1dGhUeXBlPWlwJnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=mdc&AN=9239625

Cox J, Kaes L, Martinez, M, Moles D. 2016. Use of Thermography to Predict Progression of Discolored Intact Skin to Necrosis Among Patients in Skilled Nursing Facilities. Ostomy Wound Manage. [Online]. Volume 62. Issue 10. Pages 14-33. Available From: https://www.o-wm.com/article/prospective-observational-study-assess-use-thermography-predict-progression-discolored

Farid K, Winkelman C, Rizkala A, Jones K. 2012. Thermography as an adjunct to visual/tactile assessments in pressure related discoloration in intact skin. Ostomy/Wound Management. [online]. Volume 58. Issue 8. Pages 20-31. Available from: http://search.ebscohost.com.proxy18.noblenet.org/login.aspx?direct=true&AuthType=ip&db=mdc&AN=22879313&site=ehost-live&scope=site.

Fierheller M, Sibbald R. 2010. A clinical investigation into the relationship between increased periwound skin temperature and local wound infection in patients with chronic leg ulcers. Advances in Skin & Wound Care. [online]. Volume 23, Issue 8. Pages 369–381. Available from: https://doi.org/10.1097/01.ASW.0000383197.28192.98

Lavery L, Higgins K, Lanctot D, Constantinides G, Zamorano R, Armstrong D, Athanasiou K, Agrawal C. 2004. Home Monitoring of Foot Skin Temperatures to Prevent Ulceration. [online]. American Diabetes Association. Volume 27. Issue 11. Pages 2642-2647. Available from: https://care.diabetesjournals.org/content/27/11/2642

Smart H, Jami E, Buhiji, E, Smart S. 2019. Validation and inter-rater reliability of inexpensive, mini, no-touch infrared surface thermometry devices as an assessment tool for prediction of wound-related deep and surrounding infection. WCET. [online]. Vol. 39, No. 1, Mar 2019: 18-22. Available from: <https://search.informit.com.au/documentSummary;dn=282276586407058;res=IELHEA> ISSN: 0819-4610.

Springle S, Linded M, McKenna D, Davis K, Riordan B. 2001. Clinical Skin Temperature Measurement to Predict Incipient Pressure Ulcers. Advances In Skin Wound Care. Volume 14. Issue 3. Pages 133-7. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/15504999

Verhonick P, Lewis DW, Goller HO. Thermography in the study of decubitus ulcers. Nurs Res. 1972; 21(3):233–237.

Bharara M, Cobb JE, Claremont DJ. Thermography and thermometry in the assessment of diabetic neuropathic foot: a case for furthering the role of thermal techniques. Lower Extremity Wounds. 2006;5(4):250–260.

Use of Thermal Imaging to Identify Deep-Tissue Pressure Injury on Admission Reduces Clinical and Financial Burdens of Hospital-Acquired Pressure Injuries
Koerner, Suzanne BSN, RN, CWOCN; Adams, Diane BSN, RN, CWCN; Harper, Scot L. PhD, MD; Black, Joyce M. PhD, RN, FAAN; Langemo, Diane K. PhD, RN, FAAN
Advances in Skin & Wound Care: July 2019 - Volume 32 - Issue 7 - p 312–320
doi: 10.1097/01.ASW.0000559613.83195.f9
FEATURES: ORIGINAL INVESTIGATION

Sep 18, 2019
Wow great info! Does it only help view dti or how do you determine the stage or depth of injury?
Sep 18, 2019
Elaine Horibe Song
MD, PhD, MBA
HI Melissa, I'm posting this message on Cathy's behalf:
"For the most part IR only helps view DTI. Currently you cannot stage based on IR but there is ongoing research that shows that IR examination of a DTI can greatly improve with tactile assessment. Please see article below:
Farid K, Winkelman C, Rizkala A, Jones K. 2012. Thermography as an adjunct to visual/tactile assessments in pressure related discoloration in intact skin. Ostomy/Wound Management. [online]. Volume 58. Issue 8. Pages 20-31. Available from: http://search.ebscohost.com.proxy18.noblenet.org/login.aspx?direct=true&AuthType=ip&db=mdc&AN=22879313&site=ehost-live&scope=site."
Sep 18, 2019
* Information provided without clinical evaluation and is not intended as a replacement for in-person consultation with a medical professional. The information provided through Curbside Consult is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.