Skip to main content

The Relationship Between Tissue Oxygen Pressure, Skin Surface PO2, and Transcutaneous PO2

  • Conference paper
Clinical Oxygen Pressure Measurement
  • 68 Accesses

Abstract

It has long been known that oxygen and carbon dioxide are exchanged through the human skin. Figure 1 shows a section through the human skin. One can see a capillary (filled with India ink) ascending towards the epidermis, where it bends and forms a capillary loop. The blood of this capillary loop supplies oxygen to the surrounding tissue and the epidermis above it. The cells of the multilayered epidermis are formed by the cells that divide in the lowermost cell layer (stratum basale), move upwards, keratinize, and then die. A viable layer consisting of approximately three to five cell layers with a thickness of 20–79 µm can be differentiated from a dead horny layer, the stratum corneum, which is about 10–20 µm thick. These are mean values, as the dimensions of the skin and the number of capillaries per millimeter can vary according to location. In atrophic skin areas, the capillaries are sparse; during hypertrophy the skin gets thicker and the capillaries are transformed. This variable anatomic picture indicates that there can be distinct local differences in the oxygen supply to the skin.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Baumberger, J. P., R. B.Goodfriend: Determination of arterial oxygen tension in man by equilibration through the intact skin. Fed. Proc. 10 (1951) 10–11

    Google Scholar 

  2. Brünstler I., A.Enders, H.T.Versmold: Skin surface pCO2 monitoring in newborn infants in shock: Effect of hypotension and electrode temperature. Pediatrics 100 (1982) 454–457

    Article  Google Scholar 

  3. Ellis, R. A.: Vascular patterns of the skin. In: Montagna, W., Ellis, R. A.: Advances in biology of skin (Vol II ): Blood Vessels and Circulation, (eds.) Pergamon Press, New York/Oxford/London/Paris (1961) pp. 20–37

    Google Scholar 

  4. Evans, N.T. S., P. F. D. Naylor: Steady state of oxygen tension in human dermis. Respir. Physiol. 2 (1966/67) 46–60

    Google Scholar 

  5. Evans, N.T.S., P.F.D.Naylor: The systemic oxygen supply to the surface of human skin. Respir. Physiol. 3 (1967) 21–27

    Article  PubMed  CAS  Google Scholar 

  6. Gottrup, F., R.Firmin, N.Chang, W.H.Goodson III, T.K.Hunt: Continuous direct tissue oxygen tension measurement by a new method using an implantable silastic tonometer and oxygen polarography. Am. J. Surg. 146 (1983) 399–403

    Article  PubMed  CAS  Google Scholar 

  7. Hertzmann, A.B.: Effects of heat on the cutaneous blood flow. In: Montagna, W., Ellis, R.A. (eds.): Advance Biol, of Skin (Vol. II ): Blood Vessels and Circulation. Pergamon Press, Oxford (1961): pp. 98–116

    Google Scholar 

  8. Horstmann, E.: Blutgefäße der Haut. In: Möllendorf, V. (Hrsg.): Handbuch der mikroskopi-schen Anatomie des Menschen (Vol 3,1). Springer-Verlag, Berlin (1957) S. 198–107

    Google Scholar 

  9. Huch, A., R.Huch, K.Meinzer, D.W.Lübbers: Eine schnelle, beheizte Pt-Oberflächenelektrode zur kontinuierlichen Überwachung des P02 beim Menschen. Elektrodenaufbau und -eigenschaften. Proc. Medizin-Technik Stuttgart (1972) S. 26

    Google Scholar 

  10. Huch, R., A.Huch: Continuous Transcutaneous Blood Gas Monitoring. M.Dekker, New York/Basel (1983)

    Google Scholar 

  11. Huch, R., A.Huch, D.W.Lübbers: Transcutaneous PO2. Thieme-Stratton, Stuttgart/New York (1981)

    Google Scholar 

  12. Huch, R., Lübbers, D.W., A.Huch: Quantitative continuous measurement of partial oxygen pressure on the skin of adults and newborn babies. Pflüg. Arch. 337 (1972) 185–198

    Article  CAS  Google Scholar 

  13. Huch, R., D.W.Lübbers, A. Huch: The transcutaneous measurement of oxygen and carbon dioxide tensions for the determination of arterial blood gas values with control of local perfusion and peripheral perfusion pressure: Theoretical analysis and practical application. In: Payne, J.P., Hill, D.W. (eds.): Oxygen Measurement in Biology and Medicine. Butterworth, London (1975) pp. 121–138

    Google Scholar 

  14. Hunt, T.K.: see discussion in Waxman et al. [29] S.29

    Google Scholar 

  15. Lemke, R., D.Klaus, D.W.Lübbers: Experiences with the commercially available tcPO2 electrode in adults. In: Huch, R., Huch, A. (eds.): Continuous Transcutaneous Blood Gas Monitoring (Vol. V ). M. Dekker, New York/Basel (1983)

    Google Scholar 

  16. Lemke, R., D.Klaus, D.W.Lübbers: Noninvasive monitoring of tcP02 and tcPCO2 in patients with normal and compromised circulation. In: R.Droh, R.Spintge (eds.): Closed circuit and other innovations in anaesthesia. Springer-Verlag, Berlin-Heidelberg-New York (1986) pp. 113–119

    Google Scholar 

  17. Lübbers, D.W.: Theoretical basis of transcutaneous blood gas measurements. Crit. Care Med. 9 (1981)721–733

    Google Scholar 

  18. Lübbers, D.W.: Cutaneous and transcutaneous PO2 and PCO2 and their measuring conditions. In: A.Huch, R.Huch, J.F.Lucey (eds.): Continuous Transcutaneous Blood Gas Monitoring. The National Foundation — March of Dimes. Birth Defects: Original Article Series (Vol. XV, No. 4 ). A. R. Liss, New York (1979) pp. 13–32

    Google Scholar 

  19. Lübbers, D.W.: Transcutaneous P02 in shock, in print

    Google Scholar 

  20. Lübbers, D.W., U. Grossmann: Gas exchange through the human epidermis as a basis of tcP02 and tcPC02 measurements. In: R. Huch, A. Huch (eds.): Continuous Transcutaneous Blood Gas Monitoring. M. Dekker, New York, pp. 1–34

    Google Scholar 

  21. Montgomery, H.: Oxygen tension of skin and muscle. Fed. Proc. 16 (1957) 697–699

    PubMed  CAS  Google Scholar 

  22. Nolan, L. S., W.C. Shoemaker: Transcutaneous O2 and CO2 monitoring of high risk surgical patients during the perioperative period. Crit. Care Med. 10 (1982) 762–764

    Article  PubMed  CAS  Google Scholar 

  23. Shoemaker, W.C., R.Vidyasagar: Physiological and clinical significance of PtcO2 and PtcCO2. Crit. Care Med. 10 (1981) 689

    Article  Google Scholar 

  24. Shoemaker, W.C., K.K.Tremper: Transcutaneous PO2 and PCO2 monitoring: Experimental and clinical studies. In: Huch, R., Huch, A. (eds.): Continuous Transcutaneous Blood Gas Monitoring (Vol. V ). M.Dekker, New York/Basel (1983) pp. 745–760

    Google Scholar 

  25. Spalteholz, W.: Die Verteilung der Blutgefäße in der Haut. Arch. Anat. Physiol. (1983) 1–54

    Google Scholar 

  26. Tremper, K.K., W.C. Shoemaker: Transcutaneous oxygen monitoring of critically ill adults, with and without low flow shock. Crit. Care Med. 9 (1981) pp. 706–709

    Article  PubMed  CAS  Google Scholar 

  27. Tremper, K. K., W. C. Shoemaker, C. R. Shippy, L. S. Nolan: Transcutaneous PCO2 monitoring in adult patients in the ICU and the operating room. Crit. Care Med. 9 (1981) 752–755

    Article  PubMed  CAS  Google Scholar 

  28. Tremper, K. K., K. Waxman, R. Bowman, W. C. Shoemaker: Continuous transcutaneous oxygen monitoring during respiratory failure, cardiac decompensation, cardiac arrest and CPR. Crit Care Med. 8 (1980) 377–381

    Article  PubMed  CAS  Google Scholar 

  29. Waxman, K., R.Sadler, M.E.Eisner, R.Applebaum, K.K.Tremper, E.R.Mason: Transcutaneous oxygen monitoring of emergency department patients. Am. J. Surg 146 (1983) 35–38

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Lübbers, D.W. (1987). The Relationship Between Tissue Oxygen Pressure, Skin Surface PO2, and Transcutaneous PO2 . In: Ehrly, A.M., Hauss, J., Huch, R. (eds) Clinical Oxygen Pressure Measurement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71226-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71226-5_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71228-9

  • Online ISBN: 978-3-642-71226-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics