Transcutaneous PO2 and Local Perfusion in Healthy Adults, Artificially Ventilated Patients with Stable Circulation, and Patients in Cardiogenic Shock

  • R. Lemke
  • D. Klaus
  • D. W. Lübbers
Conference paper

Abstract

Transcutaneous (tc) PO2 measurement is possible because oxygen from the skin capillaries can diffuse through the intact skin. The heated electrode produces maximum local dilatation of the vessels directly under the sensor. When circulation is stable with optimum peripheral perfusion pressure, maximum dilatation results in maximum blood flow increase at the measuring site. Under such conditions, the tcPO2 is close to the arterial PO2 (PaO2) or the quotient tcPO2/PaO2 is close to 1 [1]. Various studies have shown that during shock the tcPO2/PaO2 quotient drops considerably, according to the severity of the shock. When normal circulatory conditions are restored, the tcPO2/PaO2 value returns to normal values close to 1 [2, 3]. This phenomenon is probably brought on by the decrease in the peripheral blood flow caused by the reduced perfusion pressure, vasoconstriction, and shunt diffusion of O2 from the venous capillary limb to the arterial limb [4].

Keywords

Scandicaine 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Huch, R., A.Huch, D. W.Lubbers: Transcutaneous PO2. Thieme-Verlag/Stratton, Stuttgart/New York (1981)Google Scholar
  2. 2.
    Schober, J. G., K. Stübing: Arterial and transcutaneous PcO2 monitoring in cardiogenic shock. In: R. Huch, A. Huch (eds): Continuous blood gas monitoring. M. Dekker New York/Basel (1983)Google Scholar
  3. 3.
    Tremper, K. K., W.C. Shoemaker: Transcutaneous oxygen monitoring of critically ill adults, with and without low flow shock. Crit. Care Med. 9 (1981) 706–709PubMedCrossRefGoogle Scholar
  4. 4.
    Lübbers, D. W.: Transcutaneous PO2 in shock (in print)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • R. Lemke
  • D. Klaus
  • D. W. Lübbers

There are no affiliations available

Personalised recommendations