The importance of an elevated skin temperature in transcutaneous oxygen tension measurement. 1979

W Al-Siaidy, and D W Hill

The oxygen tension as measured by a heated transcutaneous polarographic electrode has been shown by a number of workers to correlate closely with the arterial blood oxygen tension as measured by accepted invasive methods. The present paper presents a study of the dependence of the measured skin oxygen tension values on the temperature of the sensor. A graph is included that emphasizes that the skin sensor temperature should be greater than 43 degrees C if the device is to be operated in the platequ region. The effect of increasing the skin temperature on both the local blood flow and the associated skin permeability changes has been studied. Skin blood flow studies were performed by means of a radioisotope washout technique using krypton-85 and xenon-133 together with a Huch transcutaneous oxygen electrode. The electrode control system incorporates a heating power monitor that Huch and co-workers suggest can indicate the relative blood flow in the tissues beneath the electrode. Two techniques for localized heating of the skin were employed during the washout experiments. First, a copper tube heating ring supplied from a water bath surrounded the area of measurement. Second, a focused source of light applied heat directly to the area of interest, which was 12 mm in diameter. Information obtained in the course of using a quadrupole mass spectrometer with a heated skin probe has given some information about the permeability of the skin and underlying tissues. In these studies three gases were used. Oxygen and argon are transported by the blood, but carbon dioxide tends to be generated within the tissues, and its skin tension is less affected by the blood content. Between 36 degrees C and 45 degrees C it is possible to relate changes in the oxygen and argon skin tensions to changes in capillary blood flow.

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
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010313 Partial Pressure The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Partial Pressures,Pressure, Partial,Pressures, Partial
D001784 Blood Gas Analysis Measurement of oxygen and carbon dioxide in the blood. Analysis, Blood Gas,Analyses, Blood Gas,Blood Gas Analyses,Gas Analyses, Blood,Gas Analysis, Blood
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
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
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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