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Transcutaneous Oxygen Pressure Measurement: Methods, Implementation, and Possible Applications

  • Chapter
Noninvasive Methods for the Quantification of Skin Functions

Abstract

Measurement of transcutaneous oxygen pressure (tcpO2) has become widely used in recent years as a noninvasive method to examine the microcirculation of the skin. The method was introduced by R. Huch at the beginning of the 1970s [21], described theoretically in the following years by R. Huch, A. Huch, and D.W. Lübbers, and first used in perinatal supervision of newborn babies [22, 23, 26–28]. Soon other medical departments, such as intensive care (for continuous monitoring of patients on breathing apparatus), surgery (to assess limbs that might have to be amputated), plastic surgery (to monitor the viability of skin transplants), dermatology (to diagnose and observe the course of dermatoses), and, particularly, angiology (for any questions concerning the microcirculation of the skin), became interested in measuring tcpO2. Once commercial equipment for this technique had been developed, the method was also used in routine examination by angiology departments and microcirculation laboratories.

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References

  1. Allegra C, Antonini V, Carlizza A, Inglese A, Mari A, Tonelli V (1989) TCPCO2-TCPO2 et RLR dans l’insuffisance veineuse chronique. In: Davy A, Stemmer R (eds) Phlébologie 89, vol 1. Libbey, London pp 384 - 386

    Google Scholar 

  2. Antignani PL, Paolucci A, Perna AM, Ricci A, Ricci G, Bartolo M (1989) Transcutaneous oxygen tension measurements in the valutation of trophic lesions of the lower limbs. In: Davy A, Stemmer R (eds) Phlébologie 89, vol 1. Libbey, London pp 395–398

    Google Scholar 

  3. Baumbach P (1988) Verständnis transkutaner pO2-und pCO2-Messungen. Radiometer, Ko- penhagen

    Google Scholar 

  4. Beran AV, Tolle CD, Huxtable RF (1981) Cutaneous blood flow and its relationship to transcutaneous O2/CO2 measurements. Crit Care Med 9: 736–741

    Article  PubMed  CAS  Google Scholar 

  5. Borzykowski M, Krahenbuhl B (1981) Mesure non invasive de l’oxygenation cutanée en cas d’ulcères chroniques des membres infèrieurs. Schweiz Med Wochenschr 111: 1972–1974

    PubMed  CAS  Google Scholar 

  6. Breuer HWM, Berger M, Schlaghecken U, Dienel M, Breuer J, Loogen F (1986) The value of different transcutaneous oxygen parameters in studying microcirculation. In: Maurer PC et al (eds) What is new in angiology? Zuckschwerdt, Miinchen, pp 48–49

    Google Scholar 

  7. Breuer HWM, Breuer J, Berger M (1988) Transcutaneous oxygen pressure measurements in type I diabetic patients for early detection of functional diabetic microangiopathy. Eur J Clin Invest 18: 454–459

    Article  PubMed  CAS  Google Scholar 

  8. Brüngger A (1989) Transkutane Sauerstoff- und Kohlendioxiddruckmessung bei Necrobiosis lipoidica. Hautarzt 40: 231–232

    PubMed  Google Scholar 

  9. Caspary L, Creutzig A, Helberg T, Borgmann J, Alexander K (1989) Transcutaneous p02 measurements in primary varicosis and postthrombotic syndrome. In: Davy A, Stemmer R (eds) Phlebologie 89, Vol 1. Libbey, London, pp 387–388

    Google Scholar 

  10. Creutzig A, Caspary L, Lieth H, Alexander K (1983) Veränderungen des tcpO2 und LDF bei Patienten mit primärer Varikose vor und nach Varizenexhairese. Vasa Suppl 23: 57–58

    Google Scholar 

  11. Creutzig A, Dau D, Caspary L, Alexander K (1987) Transcutaneous oxygen pressure at two different electrode core temperature in healthy volunteers and patients with arterial occlusive disease. Int J Microcirc Clin Exp 5: 373–380

    PubMed  CAS  Google Scholar 

  12. Creutzig A (1988) Transkutane 02-Druckmessung. In: Kriessmann A (ed) Aktuelle Diagno- stik undTherapie in der Angiologie. Thieme, Stuttgart, pp 52–55

    Google Scholar 

  13. Creutzig A, Nonnast-Daniel B, Kühn K, Reimers E, Brunkhorst B, Caspary L, Koch KM (1988) Anstieg des Hautsauerstoffdruckes und des peripheren Gefäßwiderstandes bei der Behandlung der renalen Anamie mit rekombinantem humanem Erythropoietin (rh-Ep). Klin Wochenschr Suppl 13: 189

    Google Scholar 

  14. Eickhoff JH, Engel HC (1981) Transcutaneous oxygen tension (tcpO2) measurements on the foot in normal subjects and in patients with peripheral arterial disease admitted for vascular surgery. Scand J Clin Lab Invest 41: 743–748

    Article  Google Scholar 

  15. Ewald U, Turemo T, Rooth G (1981) Early reduction of vascular reactivity in diabetic children detected by transcutaneous oxygen electrode. Lancet I: 1287

    Google Scholar 

  16. Falstie-Jensen N, Spaune E, Brochner-Mortensen J, Falstie-Jensen S (1988) The influence of epidermal thickness on transcutaneous oxygen pressure in normal persons. Scand J Clin Lab Invest 48: 519–523

    Article  PubMed  CAS  Google Scholar 

  17. Franzeck UK, Talke P, Bernstein EF, Goldbranson FL, Fronek A (1982) Transcutaneous pO2- measurements in health and peripheral arterial occlusive disease. Surgery 91: 156–163

    PubMed  CAS  Google Scholar 

  18. Franzeck UK (1991) Transkutaner Sauerstoffpartialdruck in der Klinischen Mikrozirkulation. Huber, Bern

    Google Scholar 

  19. Fronek A (1988) Transcutaneous pO2 determination — its potential and limits — in angiology. In: Kriessmann A (ed) Aktuelle Diagnostik undTherapie in der Angiologie. Thieme, Stuttgart, pp 50–55

    Google Scholar 

  20. Hiller D, Kessler M, Hornstein OP (1986) Vergleichende kutane Sauerstoffdruckmessung (pCUO2) bei Gesunden und bei Patienten mit progressiver Sklerodermie. Hautarzt 37: 83–89

    PubMed  CAS  Google Scholar 

  21. Huch R (1971) Quantitative kontinuierliche polarographische Sauerstoffdruckmessung aus der hyperamisierten Erwachsenenhaut. Dissertation, University of Marburg

    Google Scholar 

  22. Huch A, Huch R (1979) The development of the transcutaneous pO2 technique into a clinical tool. Birth Defects 15: 5–12

    PubMed  CAS  Google Scholar 

  23. Huch R, Lübbers DW, Huch A (1981) Transcutaneous pO2. Thieme, Stuttgart

    Google Scholar 

  24. Kooman JP, Jacobs MJH, Beckers RCY, Jörning PJG, Slaaf DW, Reneman RS (1988) The influence of hydrostatic pressure on transcutaneous pO2. Vasa Suppl 23: 138

    Google Scholar 

  25. Lentner A, Younossi H, Planz S, Wienert V (1991) Der Einfluß von hydrostatischem Druck, Umgebungstemperatur sowie Alter, Geschlecht und Rauchgewohnheiten auf die transkutane Sauerstoffpartialdruckmessung. Vasa Suppl 32: 243–246

    Google Scholar 

  26. Lübbers DW (1979) Cutaneous and transcutaneous pO2 and pCO2 and their measuring conditions. Birth Defects 15: 13–31

    PubMed  Google Scholar 

  27. Lübbers DW (1981) Theoretical basis of the transcutaneous blood gas measurements. Crit Care Med 9: 721–733

    Article  PubMed  Google Scholar 

  28. Lübbers DW (1987) Possibilities and limitations of the transcutaneous measuring technique. A theoretical analysis. In: Huch A, Huch R, Rooth G (eds) Continuous transcutaneous monitoring. Plenum, New York, pp 9–17

    Google Scholar 

  29. Lusiani L, Visona A, Nicolin P, Papesso B, Pagnan A (1988) Transcutaneous oxygen tension (TcpO2) measurement as a diagnostic tool in patients with peripheral vascular disease. Angio- logy 39: 873–880

    CAS  Google Scholar 

  30. Olerud JE, Pecoraro RE, Burgess EM, McKnight B, Wyss CR, Reiber GE, Matsen FA (1987) Reliability of transcutaneous oxygen tension (TcpO2) measurements in elderly normal subjects. Scand. J Clin Lab Invest 47: 535–541

    Google Scholar 

  31. Planz S (1992) Transkutane Sauerstoffpartialdruckmessungen in der Angiologie: Moglichkeiten zur Verbesserung der Reproduzierbarkeit des Verfahrens. Thesis, RWTH Aachen

    Google Scholar 

  32. Railton R, Neumann P, Hislop J, Harrower ADB (1983) Reduced transcutaneous oxygen tension and impaired vascular response in the typ 1 (insulin-dependent) diabetes. Diabetologica 25: 340–342

    Article  CAS  Google Scholar 

  33. Ranft J, Peters A, Heidrich H (1987) Korrelationsuntersuchungen von vitalkapillarmikrosko-pischen Befunden und transkutanem Sauerstoffpartialdruck bei Patienten mit peripher-arterieller VerschluBkrankheit ( Fontaine-Stad, II-IV). Vasa 16: 1–12

    Google Scholar 

  34. Ranft J, Heidrich H, Hirche H (1988) Variability desTcp02 bei wiederholter Messung an Patienten mit peripherer arterieller Verschlußkrankheit. Vasa Suppl. 23: 51–53

    PubMed  CAS  Google Scholar 

  35. Rooth G, Ewald U, Caligara F (1987) Transcutaneous pO2 and pCO2 monitoring at 37°C cutaneous pO2 and pCO2. In: Huch A, Huch R, Rooth G (eds) Continuous transcutaneous monitoring. Plenum, New York, pp 23–32

    Google Scholar 

  36. Schmidt JA, Leyhe A, Wichert PV (1989) Transkutaner Sauerstoffdruck unter Belastung bei Patienten mit arterieller Verschlußkrankheit der Beine im Stadium I und Ha. Inn. Med. 16: 41–45

    Google Scholar 

  37. Weindorf N, Schultz-Ehrenburg U (1988) Diagnostik der diabetischen Mikroangiopathie durch transkutane Sauerstoffdruck (tcpO2)-Messung. Phlebol Proktol 17: 131–133

    Google Scholar 

  38. Weindorf N, Schultz-Ehrenburg U (1989) Vascular aspects in necrobiosis lipoidica, results of transcutaneous oxygen pressure measurements. In: Davy A, Stemmer R (eds) Phlebologie 89, vol 1. Libbey, London pp 389–391

    Google Scholar 

  39. Younossi H (1991) Transkutane Sauerstoffpartialdruckmessungen unter konstanter Umfeld- temperatur bei gesunden Mannern und Frauen unterschiedlichen Alters. Thesis, RWTH Aachen

    Google Scholar 

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Authors and Affiliations

  1. Department of Dermatology of the RWTH Aachen, Dermatological Phlebology, 5100, Aachen, Germany

    A. Lentner

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  1. V. Wienert
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Editors and Affiliations

  1. Hautklinik der Städtischen Kliniken Dortmund Lehrstuhl Dermatologie, Universität Witten/Herdecke, Beurhausstr. 40, 4600, Dortmund 1, Germany

    Peter J. Frosch

  2. Department of Dermatology, University of Pennsylvania School of Medicine, 19104-6142, Philadelphia, PA, USA

    Albert M. Kligman M.D.

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© 1993 Springer-Verlag Berlin Heidelberg

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Wienert, V., Lentner, A. (1993). Transcutaneous Oxygen Pressure Measurement: Methods, Implementation, and Possible Applications. In: Frosch, P.J., Kligman, A.M. (eds) Noninvasive Methods for the Quantification of Skin Functions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78157-5_19

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  • DOI: https://doi.org/10.1007/978-3-642-78157-5_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78159-9

  • Online ISBN: 978-3-642-78157-5

  • eBook Packages: Springer Book Archive

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