Abstract
The reason that transcutaneous PO2 electrodes (TcPO2) are more frequently used during clinical normobaric conditions to assess tissue oxygenation is because the method is non-invasive and relatively simple. Also in hyperbaric medicine TcPO2 measurements are more frequently used e.g. to predict the final outcome of woundhealing enhancement 10,16 or to adjust the administered oxygen in order to keep the TcPO2 values within or above certain limits 21. During normobaric conditions TcPO2 values are age related according to the linear regression line TcPO2 = 96.6 — 0.47 × age (in years)4. However, it has been reported that TcPO2 values during normobaric conditions may differ 4 or not17 between age groups. Variations and differences between the measurement site, shoulder 20, forearm 7, anterior chest6 has also been investigated. During normobaric conditions only TcPO2 values at the forehead, cheek, medial site of the leg and the scapular region are sites differing from other sites of the body17.
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References
Bevers R.F.M., Bakker D-J., Kurth K.H. Hyperbaric oxygen treatment for haemorrhagic radiation cystitis. Lancet; 346: 803–805,1995.
Campagnoli, P. Oriani, G., Sala, G., Meazza, D., Sacchi, C., Ronzio, A. Montino, O., Michael, M. Prognostic value of TcPO2 during hyperbaric oxygen therapy. J Hyperbaric Medicine. Vol.7: No. 4:223–227,1992.
Chameau J., Bouachour G., Personn B., Burtin P., Rongeray J., Boyer J. Severe hemorrhagic radiation proctitis advancing to gradual cessation with hyperbaric oxygen. Digest.Dis.Sci. 36: 373–375, 1991.
Cina C., Katsamouris A., Megerman J., Brewster D.C., Strayhorn E.C., Robinson J.G., Abbott W.M. Utility of transcutaneous oxygen tension measurements in peripheral arterial occlusive disease. J. Vasc. Surg. Vol.1: No.2: 362–371, 1984.
Coleman L.C., Dowd G.S.E., Bentley G. Reproduciblity of TcPO2 measurements in normal volunteers. Clin. Phys Physiol. Meas. 7: 259–263, 1986.
Dowd G.S.E., Linge K., Bentley G. Measurement of transcutaneous oxygen pressure in normal and ischemic skin. J. Bone Joint Surg. 65-B: 79, 1983.
Glenski J.A., Cucchiari R.F. Transcutaneous O2 and CO2 monitoring of neurosurgical patients: detection of air embolism. Anesthesiology. 64: 546, 1986.
Hammarlund C., Sundberg T. Hyperbaric oxygen reduced size of chronic leg ulcers: A randomized double-blind study. Plas Reconstr Surg; 93:829–833; 1994.
Hart G.B., Meyer G.W., Strauss M.B., Messina V.J. Transcutaneous partial pressure of oxygen measured in a monoplace hyperbaric chamber at 1, 1,5 and 2 atm abs oxygen. J. Hyperbaric Medicine. Vol. 5: No. 4: 223–229, 1990.
Harvard, T.R.S., Volny, J., Golbranson, F., Bernstein, E.F., Fronek, A. Oxygen inhalation-induced transcutaneous PO2 changes as a predictor of amputation level. J Vasc Surg.; 2: 220–227, 1985.
Huch A., Huch R., Hollmann G., Hockerts T., Keller H.P., Seiler D., Sadzek J., Lübbers D.W. Transcutaneous pO2 of volunteers during hyperbaric oxygenation. Biotelemetry 4: 88–100, 1977.
Hunt, T.K., Dai, M. P. The effect of varying ambient oxygen tensions on wound metabolism and collagen synthesis. Surg Gynaecol Obstet. 135:561–567, 1972.
Knighton, D.R., Silver, I.A., Hunt, T.K. Regulation of wound healing angiogenesis: Effect of oxygen and inspired oxygen concentrations. Surg. 90: 262–270, 1981.
Marx R.E., Ehler W.J., Tayapongsak P.T., Pierce L.W. Relationship of oxygen dose to angiogenesis induction in irradiated tissue. Am. J. Surg. 160: 519–524, 1990.
Marx R.E., Johson R.P. Problem wounds in oral and maxillofacial surgery. In: Problem wounds; The Role of Oxygen. Davis J.C., Hunt T.K. (Eds). Elsevier Science Publishing, New York. pp. 65–123, 1988
Mathieu D., Wattel, F., Bouachour, G., Billard, V., Defoin J.F. Post-traumatic limb ischemia: Prediction of final outcome by transcutaneous oxygen measurement in hyperbaric oxygen. J. Trauma. 30: 307–314, 1990
Orenstein A., Mazkereth R., Tsur H. Mapping of the human body skin with the transcutaneous oxygen pressure method. Ann. Plast. Surg. Vol. 20: No. 5: 419–425, 1988
Oriani G., Lewis D., Favales F. et al. Hyperbaric oxygen therapy in diabetic gangrene. J of Hyperbaric Med.; 5(3): 171–175, 1990.
Sheffield, P. J. Tissue oxygen measurements. In: Problem wounds; The Role of Oxygen. Davis J.C., Hunt T.K. (Eds). Elsevier Science Publishing, New York.: 17–51, 1988.
Tremper K.K., Shoemaker W.C. Continuous CPR monitoring with transcutaneous oxygen and carbon dioxide sensors. Crit. Care Med. 9:417, 1981
Voûte P. A., Kleij van der A. J., Kraker de J., Hoefnagel C.A., Tiel-van Buul M. M. C., Gennip. van H. Clinical experience with radiation enhancement by hyperbaric oxygen in children with recurrent neuroblastoma stage IV Eur J Cancer. Vol. 31 A: No. 4: 596–600, 1995
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van der Kleij, A.J., Kooyman, R., Bakker, D.J. (1997). Clinical Value of Transcutaneous PO2 Assessment During Hyperbaric Oxygen Therapy. In: Nemoto, E.M., et al. Oxygen Transport to Tissue XVIII. Advances in Experimental Medicine and Biology, vol 411. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5865-1_14
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DOI: https://doi.org/10.1007/978-1-4615-5865-1_14
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