Skin reactive hyperemia recorded by a combined TcPO2 and laser Doppler sensor. 1987

U Ewald, and A Huch, and R Huch, and G Rooth
Department of Paediatrics, University Hospital, Uppsala, Sweden.

The tcPO2 electrode used at 37 degrees C monitors changes in cutaneous PO2 which at this temperature is mainly determined by the changes in blood flow. Laser Doppler velocimetry (LDV) measures the product of red cell number times their velocity. A comparison of these methods for the detection of skin reactive hyperemia has been made with a combined tcPO2 and laser Doppler sensor. The two parameters increased and decreased in parallel, the tcPO2 signal being delayed 10-20 s compared to the LDV signal. A significant correlation between the two signals was obtained (r = 0.73-0.93). In contrast, no significant correlation existed between the postocclusive peaks of the two signals recorded in 12 duplicate experiments. Comparing the peak amplitudes from the repeated recordings the tcPO2 signal showed a higher correlation coefficient (r = 0.91) and smaller intercept than the LDV signal (r = 0.74). Both methods can be used for non-invasive recordings of skin reactive hyperemia. The tcPO2 signal at 37 degrees C reflects changes in blood flow of the most superficial capillaries and reactive hyperemia can be monitored with high reproducibility. Only this signal can be used for calculation of skin blood flow. The LDV signal conveys information of blood flow changes mainly of deeper dermal vascular beds and reacts virtually instantaneously, but is less reproducible.

UI MeSH Term Description Entries
D007834 Lasers An optical source that emits photons in a coherent beam. Light Amplification by Stimulated Emission of Radiation (LASER) is brought about using devices that transform light of varying frequencies into a single intense, nearly nondivergent beam of monochromatic radiation. Lasers operate in the infrared, visible, ultraviolet, or X-ray regions of the spectrum. Masers,Continuous Wave Lasers,Pulsed Lasers,Q-Switched Lasers,Continuous Wave Laser,Laser,Laser, Continuous Wave,Laser, Pulsed,Laser, Q-Switched,Lasers, Continuous Wave,Lasers, Pulsed,Lasers, Q-Switched,Maser,Pulsed Laser,Q Switched Lasers,Q-Switched Laser
D001785 Blood Gas Monitoring, Transcutaneous The noninvasive measurement or determination of the partial pressure (tension) of oxygen and/or carbon dioxide locally in the capillaries of a tissue by the application to the skin of a special set of electrodes. These electrodes contain photoelectric sensors capable of picking up the specific wavelengths of radiation emitted by oxygenated versus reduced hemoglobin. Carbon Dioxide Partial Pressure Determination, Transcutaneous,Cutaneous Oximetry,Oximetry, Transcutaneous,Oxygen Partial Pressure Determination, Transcutaneous,Transcutaneous Blood Gas Monitoring,Transcutaneous Capnometry,Transcutaneous Oximetry,PtcO2,TcPCO2,Capnometries, Transcutaneous,Capnometry, Transcutaneous,Cutaneous Oximetries,Oximetries, Cutaneous,Oximetries, Transcutaneous,Oximetry, Cutaneous,Transcutaneous Capnometries,Transcutaneous Oximetries
D002196 Capillaries The minute vessels that connect arterioles and venules. Capillary Beds,Sinusoidal Beds,Sinusoids,Bed, Sinusoidal,Beds, Sinusoidal,Capillary,Capillary Bed,Sinusoid,Sinusoidal Bed
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006940 Hyperemia The presence of an increased amount of blood in a body part or an organ leading to congestion or engorgement of blood vessels. Hyperemia can be due to increase of blood flow into the area (active or arterial), or due to obstruction of outflow of blood from the area (passive or venous). Active Hyperemia,Arterial Hyperemia,Passive Hyperemia,Reactive Hyperemia,Venous Congestion,Venous Engorgement,Congestion, Venous,Engorgement, Venous,Hyperemia, Active,Hyperemia, Arterial,Hyperemia, Passive,Hyperemia, Reactive,Hyperemias,Hyperemias, Reactive,Reactive Hyperemias
D012212 Rheology The study of the deformation and flow of matter, usually liquids or fluids, and of the plastic flow of solids. The concept covers consistency, dilatancy, liquefaction, resistance to flow, shearing, thixotrophy, and VISCOSITY. Flowmetry,Velocimetry,Velocimetries
D012867 Skin The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.
D012881 Skin Temperature The TEMPERATURE at the outer surface of the body. Skin Temperatures,Temperature, Skin,Temperatures, Skin

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