Early and Accurate Burn Assessment with Laser Doppler Imaging innovation in microvascular assessment

About Us Moor has consulted with burns surgeons worldwide for over 20 years to develop laser Doppler imaging as a powerful aid to burn wound assessment. Working with clinicians we have been involved with international, multi-centre clinical trials for the assessment of burns using Moor laser Doppler imagers. If you are using laser Doppler or plan to do so, we can help you with imager selection and provide technical information, competence based training and comprehensive support. moorLDI2-BI image – in use in theatre (reproduced with kind permission of the Burn Centre, University Hospital Ghent,...

The Challenge of Early Burn Assessment... Accurately diagnosing the severity of burns has always been difficult, even for experienced clinicians. Moor offers a solution by providing a choice of laser Doppler imagers to assist with your treatment decisions. Our imagers assess and map skin blood flow - clinically proven to relate closely to the healing potential of burn injuries. “The use of diagnostic aids such as laser Doppler imaging (LDI) and formal review after 48 h to assess healing potential is key to ensuring appropriate treatment.” Kishikova L., Smith M.D., Cubison T.C.S. 2014. Evidence...

Benefits for Patients and Staff using Moor Laser Doppler Imaging for Burn Assessment Benefits for Burn Care Staff Benefits for Financial Administration Earlier and more accurate burn assessments lead to a reduction in work-load. Accurate assessment Hospitals, insurances and reimbursements vary widely of clinically indeterminate burns avoids unnecessary within each continent and even within each country. surgery and avoids unnecessary delays where surgery is required. Early, appropriate wound management can With the NICE review (National Institute for Health and reduce the incidence of infection...

Early and accurate burn assessment enables prompt and appropriate treatment with a consequent reduction in length of stay and better cosmetic outcomes. For wounds that appear deep by clinical assessment but are shown to be more superficial by Moor laser Doppler, unnecessary surgery, scarring and pain of a donor site can be avoided. This enables an earlier return to family, education or work. First-hand experience of laser Doppler at Moor Instruments dates back to 1978 and we have a wealth of experience in many research areas including burns. Many applications can take advantage of the speed,...

Whichever Moor system you choose, we offer the complete package including imager, clinical mobile stand, touch screen panel PC kit with dedicated software and on going support and servicing. A vital part of the package is the installation and certified competence based training course which has been refined with direct clinical experience. Documentation provided includes an extensive Burn Atlas together with course notes. You will also be invited to join The Moor Burn Forum putting you in direct contact with a rapidly growing user group, who can share practical experience and measurement tips....

Laser light penetrates the skin and is scattered by tissue and by moving blood cells in capillaries, arterioles and venules. The moving blood cells in the tissue cause Doppler frequency shifts, which are processed to produce a colour coded map of flow across the skin. A digital camera records a colour clinical photograph at the same time, corresponding closely with the blood flow image in size and aspect. The measurement is non contact and can quantify differences in flow over an area of tissue. There are two main modalities with unique advantages for adult and paediatric burns; Single point...

Case Study 1 - Paediatric Hand Time Post Burn: Burn Cause: contact - other Healing Potential: Healing Potential: Healing Potential: more than 21 days less than 14 days Blood flow within burn area Clinical Assessment Initially assessed clinically on admittance as 2nd degree, <1% TBSA. At 5 days post burn the wound was clinically reviewed and the decision taken to apply a split skin graft, however the patient was unwell for theatre, and was not grafted. moorLDLS-BI Assessment Day 2 Wound mainly red indicating healing potential less than 14 days. Follow Up 9 Days Post Burn Dorsum of hand - central...

Date Of Birth: Burn Cause: Time Post Burn: Scan Size (WxH): Healing Potential: ■ Healing Potential: I Healing Potential: more than 21 days I 14 to 21 days I less than 14 days Blood flow within burn area Clinical Assessment Day 3 Lund and Browder chart records initial clinical opinion for surgical treatment of abdomen and both thighs. The regions appear deep 2nd degree and full thickness. moorLDI2-BI shows high flow (HP14) on the abdomen and right thigh (except for a few regions of * slightly lower flow, HP14-21) indicating a good healing potential. The left thigh shows low flow (HP>21) within...

Case Study 3 - Paediatric Chest Time Post Burn: Burn Cause: scald - water/drink Healing Potential: Healing Potential: Healing Potential: more than 21 days less than 14 days Blood flow within burn area Clinical Assessment A scald to a paediatric caused by hot water/drink. Initial clinical assessment, prior to moorLDI2-BI scan, diagnosed mainly deep 2nd degree burn wounds. moorLDI2-BI Report moorLDI2-BI image of wounds predicts most will heal within 14 days (red and associated areas of pink on the scan). Yellow areas will take longer to heal but should heal within 21 days. Outcome Almost complete...

Frequently Asked Questions Answers (A) are only a summary. Users should consult the years and have designed and developed the software to appropriate user manual for full information. be very user friendly. Full training and support is provided for all users. Q. When should scanning be performed? A. Evidence from our clinical trial suggests that the earliest Q. What is the largest area you can image with reliable time for imaging is at least 48 hours after the injury, moor laser Doppler imagers? as burn wounds can change rapidly in the first 48 hours A. The image area is dependent on the scan...