The measurement of TcPO2 and TcPCO2 in newborn infants at 44 degrees C, 42 degrees C and 37 degrees C after initial heating to 44 degrees C. 1987

B Friis-Hansen, and P Voldsgaard, and J Witt, and K G Pedersen, and P S Frederiksen
Department of Neonatology, University Hospital, Copenhagen, Denmark.

Prolonged measurement of the transcutaneous O2 and CO2 tension at an electrode temperature of 44 to 45 degrees C often causes a second degree burn of the underlying skin. To avoid this, we compared the readings at 44 degrees C, 42 degrees C and 37 degrees C, after 2 hours pre-heating of the skin by the electrodes at 44 degrees C. In order to eliminate the electrodes' own temperature coefficients, electrodes with a built-in temperature correction were used. The changes observed therefore represent changes in the O2 and CO2 tension in the skin. The obtained values were compared to repeated arterial samples. We found that the TcPO2 and TcPCO2 values obtained at 42 degrees C and 37 degrees C were lower than those obtained at 44 degrees C, but when corrected for the in vivo temperature coefficients previously found by us the TcPO2 values at 42 were quite similar to the 44 degrees C values, whereas the 37 degrees values remained lower. TcPCO2 values at 44, 42 and 37 degrees were all similar. The temperature coefficient of PO2 was calculated to be 0.044 +/- 0.008 and for TcPCO2 as 0.049 +/- 0.007.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007235 Infant, Premature, Diseases Diseases that occur in PREMATURE INFANTS.
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
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012881 Skin Temperature The TEMPERATURE at the outer surface of the body. Skin Temperatures,Temperature, Skin,Temperatures, Skin

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