Transcutaneous oxygen measurements: Implications for nursing

Rich, Kathleen

doi:10.1067/mvn.2001.115782

Cited by 24 publications

(13 citation statements)

References 22 publications

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“…Varia Bedeutung besitzt sie im Monitoring der Gewebeoxygenierung nach konservativer [5, 9, 28 ± 30] oder operativer Therapie [7,14] mikro-und makroangiopathischer Erkrankungen, welches sequenzielle Messungen bedingt und daher nicht auf die Zuverlässigkeit eines Einzelwerts angewiesen ist. Einschränkend muss jedoch angemerkt werden, dass auch bei wiederholten Messungen die Möglichkeit einer systematischen Verfälschung der Messergebnisse existiert und so der prädiktive Wert des Verfahrens gemindert sein kann [28].…”

Section: Methodeunclassified

“…Mittlerweile ist sie als nicht-invasive Messmethode etabliert [4 ± 8]. Neben Anamnese, klinischer Untersuchung, Angiographie und Sonographie wird sie auch als prädikti-ver Parameter für einen Extremitätenerhalt [9 ± 11], zur Bestimmung der ischämiekonformen Amputationshöhe bei Patienten mit Mikro-und Makroangiopathie [1,7,10,12,13] und zur Beurteilung der peripheren Reperfusion nach arterieller Revaskularisierung [7,14] verwendet.…”

Section: Introductionunclassified

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Reliabilität der transkutanen Sauerstoffpartialdruckmessung an der unteren Extremität

Käfer

Kinkel²,

Cr³

et al. 2005

Z Orthop Ihre Grenzgeb

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Section: Methodeunclassified

Section: Introductionunclassified

Reliabilität der transkutanen Sauerstoffpartialdruckmessung an der unteren Extremität

Käfer

Kinkel²,

Cr³

et al. 2005

Z Orthop Ihre Grenzgeb

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“…Furthermore, TcPO 2 measurements are greatly influenced by several exogenous factors (e.g. temperature, atmospheric pressure), methodology used [2] and physio-logical conditions (e.g. anatomical sites, blood flow, removal of stratum corneum) [2,4,5] .…”

Section: Introductionmentioning

confidence: 99%

“…At normal skin temperature, the transcutaneous oxygen pressure (TcPO 2 ) is very reduced, approx. 3-4 mm Hg, whereas local hyperemia at 44 ° C was shown to increase TcPO 2 up to 40-80 mm Hg [2,3] . Furthermore, TcPO 2 measurements are greatly influenced by several exogenous factors (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…temperature, atmospheric pressure), methodology used [2] and physio-logical conditions (e.g. anatomical sites, blood flow, removal of stratum corneum) [2,4,5] . Stratum corneum tape stripping was reported to either produce a major or minimal increase in TcPO 2 , depending on the methods used and the thickness of the removed stratum corneum [5,6] .…”

Section: Introductionmentioning

confidence: 99%

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Simultaneous Characterization of Oxygen Transport into and through Porcine Skin Exposed to Oxygen-Saturated Water

Atrux-Tallau

Le²,

Denis³

et al. 2009

Skin Pharmacol Physiol

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Oxygen delivery to the skin is a promising approach for treatment of dermatological diseases (e.g. ischemic wound healing). However, characterization of oxygen transport into and through the skin exposed to oxygen carrier formulations has not been reported. In the present study, we developed an original lab-made static diffusion cell mounted with porcine skin enabling the assessment of oxygen uptake into the skin (i.e., oxygen penetration) and passage through the skin (i.e., oxygen permeation). Oxygen penetration and permeation were recorded by using an optical probe implanted into the skin tissue and a Clark-type electrode plunged into the receptor solution of the diffusion cells. Permeability parameters (i.e., maximal and steady-state flux; permeability coefficient) of oxygen were determined after a 2-hour application of oxygen-saturated water to either the skin surface (exogenous delivery) or the dermis (endogenous delivery). Similar experiments were performed by using intact or stripped skin in order to appreciate the role of the stratum corneum as oxygen barrier. Exogenous delivery of oxygen to skin tissue was found more effective than endogenous delivery through intact and stripped skin. However, exogenous oxygen permeation was found smaller than that determined from endogenous delivery. The upper layers of the skin would constitute a potential oxygen reservoir created by the high solubility of oxygen in epidermal lipids. Therefore, oxygen carrier formulations might significantly improve the oxygen status in the skin for further biological effects.

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Measurement of Transcutaneous Oxygen Tension in Limbs with Arteriovenous Hemodialysis Access

Harissis

Koliousi

Matsagas

et al. 2008

Dialysis & Transplantation

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BACKGROUND The purpose of the present study was to investigate hypoxemic complications of limbs with arteriovenous access by means of transcutaneous oximetry. METHODS The study was a prospective assessment of 31 limbs with arteriovenous access using transcutaneous oximetry. Each limb was measured 4 times: before arteriovenous construction, the first post‐operative day, the first post‐operative month, and the fourth post‐operative month. The contralateral limb was used as control for every measurement. RESULTS The first postoperative day was characterized by an acute drop in the tissue oxygenation of the limb with arteriovenous access (p = 0.03). This hypoxia was compensated for in the first month by a gradual return of transcutaneous oxygen values to pre‐operative levels. Two patients developed a steal syndrome, characterized by abnormally low transcutaneous oxygen (< 40 mmHg). CONCLUSION Transcutaneous oximetry is a simple and accurate method for objectively assessing the whole spectrum of alterations in tissue oxygenation (from transient hypoxia to steal syndrome) caused by arteriovenous access.

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Transcutaneous oxygen measurements: Implications for nursing

Cited by 24 publications

References 22 publications

Reliabilität der transkutanen Sauerstoffpartialdruckmessung an der unteren Extremität

Reliabilität der transkutanen Sauerstoffpartialdruckmessung an der unteren Extremität

Simultaneous Characterization of Oxygen Transport into and through Porcine Skin Exposed to Oxygen-Saturated Water

Measurement of Transcutaneous Oxygen Tension in Limbs with Arteriovenous Hemodialysis Access

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