Comparison of tissue oxygen-tension measurements by different devices. An experimental study in pigs. 1998

B Jedlińska, and A Mellström, and M Hartmann, and K Jönsson
Department of Anesthesiology, University Hospital MAS, Malmö, Sweden.

The aim of this study was to evaluate measurements of subcutaneous oxygen tension (PscO2) generated by three different monitors and to compare measurements obtained with and without the tonometer technique in a standardized animal model. Seven domestic pigs weighing 20-28 kg were anaesthetized and mechanically ventilated. A pulmonary artery catheter was inserted for haemodynamic monitoring and temperature measuring. An external carotid artery was cannulated for blood pressure monitoring and blood sampling. A peripheral venous line was used for fluid and drug infusion. The animals were then subjected to hyperoxia and hypoxia by varying the inspiratory oxygen fractions (FiO2) between 0.1 and 0.8. Arterial and central venous blood gases were analysed at each step of FiO2. Cardiac output was determined using a thermodilution technique. Central, subcutaneous and skin surface temperatures were measured. Three different devices for subcutaneous tissue oxygen-tension (PscO2) measurements were compared: (1) Biogenesis, (2) Continucath and (3) Paratrend 7. Continucath was used both with and without tonometer simultaneously. Inter Class Coefficient of Correlation between PscO2 values obtained by the two Continucath sensors was 76% and between Paratrend 7 and Biogenesis 88%. Absolute values generated by Biogenesis and Paratrend 7 were not different. PscO2 values obtained with the Continucath devices were on average 50% higher than those generated by Biogenesis and Paratrend 7 (p < 0.05). CONCLUSIONS The new Paratrend 7 and the old Biogenesis sensors generate almost equal tissue oxygen-tension values in response to changes in arterial oxygen tension. The Continucath sensor generates almost 50% higher values compared with the Paratrend 7 and Biogenesis sensors, both with and without tonometer.

UI MeSH Term Description Entries
D008365 Manometry Measurement of the pressure or tension of liquids or gases with a manometer. Tonometry,Manometries
D009584 Nitrogen An element with the atomic symbol N, atomic number 7, and atomic weight [14.00643; 14.00728]. Nitrogen exists as a diatomic gas and makes up about 78% of the earth's atmosphere by volume. It is a constituent of proteins and nucleic acids and found in all living cells.
D009609 Nitrous Oxide Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream. Laughing Gas,Nitrogen Protoxide,Gas, Laughing,Oxide, Nitrous
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
D012121 Respiration, Artificial Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2). Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D006339 Heart Rate The number of times the HEART VENTRICLES contract per unit of time, usually per minute. Cardiac Rate,Chronotropism, Cardiac,Heart Rate Control,Heartbeat,Pulse Rate,Cardiac Chronotropy,Cardiac Chronotropism,Cardiac Rates,Chronotropy, Cardiac,Control, Heart Rate,Heart Rates,Heartbeats,Pulse Rates,Rate Control, Heart,Rate, Cardiac,Rate, Heart,Rate, Pulse
D006863 Hydrogen-Ion Concentration The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH pH,Concentration, Hydrogen-Ion,Concentrations, Hydrogen-Ion,Hydrogen Ion Concentration,Hydrogen-Ion Concentrations

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