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.
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References
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
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
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
Evans, N.T. S., P. F. D. Naylor: Steady state of oxygen tension in human dermis. Respir. Physiol. 2 (1966/67) 46–60
Evans, N.T.S., P.F.D.Naylor: The systemic oxygen supply to the surface of human skin. Respir. Physiol. 3 (1967) 21–27
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
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
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
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
Huch, R., A.Huch: Continuous Transcutaneous Blood Gas Monitoring. M.Dekker, New York/Basel (1983)
Huch, R., A.Huch, D.W.Lübbers: Transcutaneous PO2. Thieme-Stratton, Stuttgart/New York (1981)
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
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
Hunt, T.K.: see discussion in Waxman et al. [29] S.29
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)
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
Lübbers, D.W.: Theoretical basis of transcutaneous blood gas measurements. Crit. Care Med. 9 (1981)721–733
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
Lübbers, D.W.: Transcutaneous P02 in shock, in print
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
Montgomery, H.: Oxygen tension of skin and muscle. Fed. Proc. 16 (1957) 697–699
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
Shoemaker, W.C., R.Vidyasagar: Physiological and clinical significance of PtcO2 and PtcCO2. Crit. Care Med. 10 (1981) 689
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
Spalteholz, W.: Die Verteilung der Blutgefäße in der Haut. Arch. Anat. Physiol. (1983) 1–54
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
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
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
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
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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
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DOI: https://doi.org/10.1007/978-3-642-71226-5_1
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