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Tissue Oxygen Tension Monitoring: Relation to Hemodynamic and Oxygen Transport Variables

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Tissue Oxygen Utilization

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 12))

Abstract

Peripheral tissue perfusion is important in all types of surgical patients, particularly for resistance to infection and wound repair.

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References

  1. Striebel HW, Kretz (1989) Advantages and limitation of pulse oximetry. In: Reinhart K, Eyrich K (eds) Clinical aspects of O2 transport and tissue oxygenation, Springer, Berlin Heidelberg New York Tokyo, pp 212–229

    Google Scholar 

  2. Jonsson K, Jensen JA, Goodson WH, West JM, Hunt TK (1987) Assessment of perfusion in postoperative patients using tissue oxygen measurements. Br J Surg 74: 263–268

    Article  PubMed  CAS  Google Scholar 

  3. Hunt TK (1979) Disorders of repair and their management. In: Hunt TK, Dunphy JE (eds) Fundamentals of wound management. Appleton-Century-Crofts, New York, pp 68–168

    Google Scholar 

  4. Niinikoski J (1980) Cellular and nutritional interaction in healing wounds. Medical Biology 58: 303–309

    PubMed  CAS  Google Scholar 

  5. Silver IA (1969) The measurement of oxygen tension in healing tissue. In: Herzog H (ed) Progress in respiration research III. Karger, Basel, pp 124–135

    Google Scholar 

  6. Hunt TK, Rabkin J, Jensen JA, Jonsson K, Smitten K, Goodson WH (1987) Tissue oximetry: An interim report. World J Surg 11: 126–132

    Article  PubMed  CAS  Google Scholar 

  7. Sheffield PJ (1988) Tissue oxygen measurements. In: Davis JC, Hunt TK (eds) Problem wounds. The role of oxygen. Elsevier, New York, pp 17–51

    Google Scholar 

  8. Gottrup F, Niinikoski J, Hunt TK (1990) Measurement of tissue oxygen tension in wound repair. In: Janssen H (ed) Blackwell, Oxford (in press)

    Google Scholar 

  9. Fatt I (1976) Polarographic oxygen sensors. Its theory of operation and its application in biology, medicine and technology. C.R.C. Press, Cleveland

    Google Scholar 

  10. Kautsky H (1939) Quenching of luminescence by oxygen. Transaction of the Faraday Society 35: 216–219

    Article  CAS  Google Scholar 

  11. Gehrich JL, Lubbers DW, Opitz N, et al (1986) Optical flourescence and its application to an intravascular blood gas monitoring system. IEEE Transactions on Biomedical Engineering 33: 117–132

    Article  PubMed  CAS  Google Scholar 

  12. Baker SJ, Tremper KK, Hyatt J, et al (1987) Continuous fiberoptic arterial oxygen tension measurements in dogs. J Clin Monit 3: 48–52

    Article  Google Scholar 

  13. Gottrup F, Firmin R, Chang N, Goodson WH, Hunt TK (1983) Continuous direct tissue oxygen tension measurement by a new method using an implantable Silastic tonometer and oxygen polarography. Am J Surg 146: 399–403

    Article  PubMed  CAS  Google Scholar 

  14. Fatt I, Deutsch (1983) The relation of conjunctival PO, to capillary bed PO2. Crit Care Med 11: 445–448

    Article  PubMed  CAS  Google Scholar 

  15. Sheridan WG, Lowndes RH, Young H (1987) Tissue oxygen tension as a predictor of colonic anastomotic healing. Dis Colon Rectum 30: 867–871

    Article  PubMed  CAS  Google Scholar 

  16. Tremper KK, Waxman K, Shoemaker WC (1979) Effect of hypoxia and shock on transcutaneous PO, values in dogs. Crit Care Med 7: 526–531

    Article  PubMed  CAS  Google Scholar 

  17. Shoemaker WC (1981) Physiological and clinical significance of PtcO2 and PtcCO2 measurements. Crit Care Med 9: 689–690

    Article  PubMed  CAS  Google Scholar 

  18. Trember KK, Shoemaker WC (1981) Transcutaneous oxygen monitoring of critical ill adults, with and without low flow shock. Crit Care Med 9: 706–709

    Article  Google Scholar 

  19. Waxman K, Sadler R, Eisner MG, Applebaum R, Tremper KK, Mason GR (1983) Transcutaneous oxygen monitoring of emergency department patients. Am J Surg 146: 35–37

    Article  PubMed  CAS  Google Scholar 

  20. Fink S, Ray CW, McCartney S, Ehrlich H, Shoemaker WC (1984) Oxygen transport and utilization in hyperoxia and hypoxia: Relation of conjunctival and transcutaneous oxygen tensions to hemodynamic and oxygen transport variables. Crit Care Med 12: 943–948

    Article  PubMed  CAS  Google Scholar 

  21. Gottrup F, Gellett S, Kirkegaard L, Hansen ES, Johanssen G (1988) Continuous monitoring of tissue oxygen tension during hyperoxia and hypoxia: Relation of subcutaneous, transcutaneous and conjunctival oxygen tension to hemodynamic variables. Crit Care Med 16: 1229–1234

    Article  PubMed  CAS  Google Scholar 

  22. Shoemaker WC, Fink S, Ray W, McCartney S (1984) Effect of hemorrhagic shock on conjunctival and transcutaneous oxygen tensions in relation to hemodynamic and oxygen transport changes. Crit Care Med 12: 949–952

    Article  PubMed  CAS  Google Scholar 

  23. Gottrup F, Gellett S, Kirkegaard L, Hansen ES, Johanssen G (1989) Effect of hemorrhage and resuscitation on subcutaneous, conjunctival and transcutaneous oxygen tension in relation to hemodynamic variables. Crit Care Med 17: 904–907

    Article  PubMed  CAS  Google Scholar 

  24. Smith M, Abraham E (1986) Conjunctival oxygen tension monitoring during hemorrhage. J Trauma 26: 217–224

    Article  PubMed  CAS  Google Scholar 

  25. Abraham E, Fink S (1986) Cardiorespiratory and conjunctival oxygen tension monitoring during resuscitation from hemorrhage. Crit Care Med 14: 1004–1009

    Article  PubMed  CAS  Google Scholar 

  26. Gottrup F, Firmin R, Rabkin J, Halliday BJ, Hunt TK (1987) Directly measured tissue oxygen tension and arterial oxygen tension assess tissue perfusion. Crit Care Med 15: 1030–1036

    Article  PubMed  CAS  Google Scholar 

  27. Kuttila K (1989) Tissue perfusion and oxygenation in cardiac surgery. Scand J Thor Cardiovasc Surg (suppl) 38: 5–33

    Google Scholar 

  28. Larsen PN, Moesgaard F, Gottrup F, Helledie N (1989) Characterization of the Silicone tonometer using a membrane-covered transcutaneous electrode. Scand J Clin Lab Invest 49: 513–519

    Article  PubMed  CAS  Google Scholar 

  29. Evans NTS, Neylor PFD (1966) Steady status of oxygen tension in human dermis. Respir Physiol 2: 46–60

    Article  PubMed  CAS  Google Scholar 

  30. Chang N, Goodson WH, Gottrup F, Hunt TK (1983) Direct measurement of wound and tissue oxygen tension in postoperative patients. Ann Surg 197: 470–478

    Article  PubMed  CAS  Google Scholar 

  31. Matsen FA, Wyss CR, King RV, Simmons CW (1980) Effect of acute hemorrhage on transcutaneous, subcutaneous, intramuscular and arterial oxygen tensions. Pediatrics 65: 881–883

    PubMed  Google Scholar 

  32. Sheldon CA, Balik E, Dhanalal K, Belani K, Marim J, Leoward AS (1982) Peripheral postcapillary venous pressure–A new hemodynamic monitoring parameter. Surgery 92: 663–668

    PubMed  CAS  Google Scholar 

  33. Sheldon CA, Cerra FP, Bohnhoff N, et al (1983) Peripheral postcapillary venous pressure: A new, more sensitive monitor of effective blood volume during hemorrhagic shock and resuscitation. Surgery 94: 399–406

    PubMed  CAS  Google Scholar 

  34. Browning IA, Lindberg SE, Turney SF (1982) The effect of fluctuating FIO2 on metabolic measurements in mechanically ventilated patients. Crit Care Med 10: 82–89

    Article  PubMed  CAS  Google Scholar 

  35. Reinhart K (1989) Monitoring O2 transport and tissue oxygenation in critically ill patient. In: Reinhart K, Eyrich K (eds) Clinical aspects of O2 transport and tissue oxygenation. Springer, Berlin Heidelberg New York Tokyo, pp 195–211

    Google Scholar 

  36. Russel RO, Mantle JA, Rogers WJ, Rackley CE (1981) Current status of hemodynamic monitoring: Indications, diagnoses, complications. Cardiovasc Clinic 11: 1–13

    Google Scholar 

  37. Powers SR (1977) Intensive care monitoring. In: Kinney JM, Bendixen HH, Powers SR (eds) Manual of surgical intensive care. Saunders, Philadelphia, pp 63–72

    Google Scholar 

  38. Hunt TK, Zederfeldt BH, Goldstick TK, Conally WB (1967) Tissue oxygen tension during controlled hemorrhage. Surg Forum 18: 3–4

    PubMed  CAS  Google Scholar 

  39. Bond RF, Lackey GF, Taxis JA, Green HD (1970) Factors governing cutaneous vasoconstriction during hemorrhage. Am J Physiol 219: 1210–1215

    PubMed  CAS  Google Scholar 

  40. Maxwell TM, Lim RC, Fucks R, Hunt TK (1973) Continuous monitoring of tissue gas tension and pH in hemorrhagic shock. Am J Surg 126: 249–254

    Article  PubMed  CAS  Google Scholar 

  41. Jensen JA, Goodson WH, Omachi RS, Lindenfeld SM, Hunt TK (1987) Subcutaneous tissue oxygen tension falls during hemolysis. Surgery 101: 416–421

    PubMed  CAS  Google Scholar 

  42. Hunt TK, Halliday BJ, Hopf HW, Scheunstuhl H, West JM (1990) Measurement and control of tissue oxygen tension in surgical patients. In: Gutierrez G, Vincent JL (eds) Update in intensive care and emergency medicine, vol 12: Tissue oxygen utilization. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  43. Fiddian-Green RG, Amelin PM, Bakers S (1987) The predicted value of the pH in the wall of the stomach for complications after cardiac operations: A comparison with other forms of monitoring. Crit Care Med 15: 153–156

    Article  PubMed  CAS  Google Scholar 

  44. Fiddian-Green RG, Gantz NM (1987) Transient episodes of sigmoid ischemia and their relation to infection from intestinal organisms after abdominal aortic operations. Crit Care Med 15: 835–839

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. F. Gottrup
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Editor information

Editors and Affiliations

  1. Pulmonary Medicine, Health Science Center, 6431 Fannin, Suite 1274, 77030, Houston, TX, USA

    Guillermo Gutierrez

  2. Department of Intensive Care, Erasme University Hospital, Free University of Brussels, Route de Lennik 808, 1070, Brussels, Belgium

    Jean Louis Vincent (Clinical Director) (Clinical Director)

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© 1991 Springer-Verlag Berlin Heidelberg

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Gottrup, F. (1991). Tissue Oxygen Tension Monitoring: Relation to Hemodynamic and Oxygen Transport Variables. In: Gutierrez, G., Vincent, J.L. (eds) Tissue Oxygen Utilization. Update in Intensive Care and Emergency Medicine, vol 12. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84169-9_26

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  • DOI: https://doi.org/10.1007/978-3-642-84169-9_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52472-4

  • Online ISBN: 978-3-642-84169-9

  • eBook Packages: Springer Book Archive

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